Enterobacter sakazakii에 의한 신생아 경막 외 농양 1례

A Case of Enterobacter sakazakii Epidural Abscess in Neonate

저저들은 출생 2일째 E. sakazakii 패혈증을 않은 병력이 있는 1개월된 남아에서 특별한 증상이 없었으니 기왕에 있었던 뇌실내 출혈의 추적 검사 도중 발견된 E. sakazakii에 의한 경막외 농양 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Enterobacter sakazakii previously known as a 'yellow-pigmented Enterobacter cloacae', was designated as a unique species in 1980. This reclassification was based on differences from E. cloacae in DNA relatedness, pigment production and biochemical reactions. In 1961, Urmenyi and Franklin reported the first two known cases of neonatal meningitis and septicemia caused by E. sakazakii, although at that time it was still considered as an strain. Since 1961, a number of cases of neonatal infection caused by E. sakazakii have been reported worldwide. Usually newborn with E. sakazakii meningitis have a poor prognosis, many of them dying within days of infection. The reported case-fatality rate vary from 40-80%. We diagnosed and experienced a case of epidural abscess caused by E. sakazakii in a 1 month old male patient, who was asymptomatic with brain mass detested on brain ultrasound examination. We presented this case with a brief review of literatures.