Citrobacter Koseri detected during 18th week of pregnancy

Dr. Sheetal Kamble., BHMS
 

Medical Case Details:

Hello,



One of my 38 yrs old patient is detected with Citrobacter Koseri >100,000 organism/ml in urine culture. No UTI Symptoms. USG was normal during 15th week of pregnancy. Her Gynaec is going to start with antibiotics now but was wondering what is the chance of baby getting meningitis or sepsis problems or any other complications due to this bacteria.

What would be another way of managing this case?

Any advice is highly appreciated.

Thanks

Sheetal

 


Discussions



Dr. Muntaqa Butt
General Practitioner

45 to 50% chances of meningitis caused by gram negative.. and citrobacter is also gram negative..
Other complications can include brain abcess and ventriculitis

https://www.researchgate.net/publication/271215357_Neonatal_Citrobacter_koseri_meningitis_and_brain_abscess

16.Sep, 06:54am

Dr. Bhajbhuje Piyush Pandurang
General Practitioner

USG abdo pelvis to confirm hydrocephalus.
Color doppler otherwise.

23.Sep, 10:28pm

Dr. Sheetal Kamble
Homeopathic Physician

Thank you doctors for your advice.

Right now patient is on Cephalaxine 500mg thrice a day for 10 days. No symptoms of UTI seen till now.

She will be going for USG next week. Will update you about the progress.

25.Sep, 01:35am

Dr. Muntaqa Butt
General Practitioner

Ok sure

25.Sep, 02:33am

Are You a Medical Doctor?

Please sign up and discuss medical cases and clinical scenarios.

Sign Up Now
 

 

Disclaimer: All medical case discussions published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.