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Clinical Pediatrics
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Escherichia coli Cellulitis in Children With Idiopathic Nephrotic Syndrome

Basim I. Asmar

Division of Infectious Diseases, Children's Hospital of Michigan

Bassam N. Bashour

Department of Pediatrics, Wayne State University School of Medicine

Larry E. Fleischmann

Division of Nephrology, Children's Hospital of Michigan, 3901 Beaubien Boulevard, Detroit, Michigan

Although Streptococcus pneumoniae is traditionally considered the preponderant bacterial pathogen in children with nephrotic syndrome, recent data suggest an increase of infections with encapsulated gram-negative organisms. We report two children with idiopathic nephrotic syndrome in relapse who developed spontaneous Escherichia coli cellulitis. The organism was recovered from the cellulitis tissue aspirate of one, and from the blood of the other. Both patients responded to appropriate antibiotic therapy. Initial treatment of sepsis, peritonitis or spontaneous cellulitis in nephrotic patients should include broad spectrum antibiotic coverage pending results of appropriate cultures.

Clinical Pediatrics, Vol. 26, No. 11, 592-594 (1987)
DOI: 10.1177/000992288702601108
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 J Hand Surg Eur VolHome page
D. BRZOZOWSKI and D. C. ROSS
Upper Limb Escherichia Coli Cellulitis in the Immunocompromised
J Hand Surg Eur Vol., October 1, 1997; 22(5): 679 - 680.
[Abstract] [PDF]