Enteral Linezolid as an Effective Option to Treat an Extremely Preterm Infant with <i>Bacillus cereus</i> Sepsis

We report the safe and effective use of oral linezolid for treatment of <i>Bacillus cereus</i> sepsis in an extremely preterm neonate, previously fed with human donor milk, in which a <i>Brevibacillus</i> sp. was eventually found. Due to several predisposing factors, prematur...

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Main Authors: Chiara Minotti, Luca Bonadies, Cecilia Liberati, Marica De Pieri, Carlo Giaquinto, Eugenio Baraldi, Daniele Donà
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/9/3/415
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author Chiara Minotti
Luca Bonadies
Cecilia Liberati
Marica De Pieri
Carlo Giaquinto
Eugenio Baraldi
Daniele Donà
author_facet Chiara Minotti
Luca Bonadies
Cecilia Liberati
Marica De Pieri
Carlo Giaquinto
Eugenio Baraldi
Daniele Donà
author_sort Chiara Minotti
collection DOAJ
description We report the safe and effective use of oral linezolid for treatment of <i>Bacillus cereus</i> sepsis in an extremely preterm neonate, previously fed with human donor milk, in which a <i>Brevibacillus</i> sp. was eventually found. Due to several predisposing factors, premature, very low birth weight newborns are extremely vulnerable to invasive infections by environmental pathogens. After vancomycin microbiologic treatment failure (despite adequate blood concentrations and clinical response), linezolid was chosen for its optimal enteral absorption and bioavailability, also after exhaustion of peripheral venous heritage. No adverse events were recorded, with clinical cure. We reviewed the literature on <i>B. cereus</i> infections in newborns, together with the available evidence on the use of linezolid in similar contexts.
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spelling doaj.art-3031ffd9b7bc4dc4a5b946f3ad23630c2023-11-24T00:47:46ZengMDPI AGChildren2227-90672022-03-019341510.3390/children9030415Enteral Linezolid as an Effective Option to Treat an Extremely Preterm Infant with <i>Bacillus cereus</i> SepsisChiara Minotti0Luca Bonadies1Cecilia Liberati2Marica De Pieri3Carlo Giaquinto4Eugenio Baraldi5Daniele Donà6Division of Pediatric Infectious Diseases, Department of Women’s and Children’s Health, University of Padova, 35128 Padova, ItalyNeonatal Intensive Care Unit, Department of Women’s and Children’s Health, University of Padova, 35128 Padova, ItalyDivision of Pediatric Infectious Diseases, Department of Women’s and Children’s Health, University of Padova, 35128 Padova, ItalyDivision of Pediatric Infectious Diseases, Department of Women’s and Children’s Health, University of Padova, 35128 Padova, ItalyDivision of Pediatric Infectious Diseases, Department of Women’s and Children’s Health, University of Padova, 35128 Padova, ItalyNeonatal Intensive Care Unit, Department of Women’s and Children’s Health, University of Padova, 35128 Padova, ItalyDivision of Pediatric Infectious Diseases, Department of Women’s and Children’s Health, University of Padova, 35128 Padova, ItalyWe report the safe and effective use of oral linezolid for treatment of <i>Bacillus cereus</i> sepsis in an extremely preterm neonate, previously fed with human donor milk, in which a <i>Brevibacillus</i> sp. was eventually found. Due to several predisposing factors, premature, very low birth weight newborns are extremely vulnerable to invasive infections by environmental pathogens. After vancomycin microbiologic treatment failure (despite adequate blood concentrations and clinical response), linezolid was chosen for its optimal enteral absorption and bioavailability, also after exhaustion of peripheral venous heritage. No adverse events were recorded, with clinical cure. We reviewed the literature on <i>B. cereus</i> infections in newborns, together with the available evidence on the use of linezolid in similar contexts.https://www.mdpi.com/2227-9067/9/3/415pretermnewbornlinezolid<i>B. cereus</i>invasive infectionsepsis
spellingShingle Chiara Minotti
Luca Bonadies
Cecilia Liberati
Marica De Pieri
Carlo Giaquinto
Eugenio Baraldi
Daniele Donà
Enteral Linezolid as an Effective Option to Treat an Extremely Preterm Infant with <i>Bacillus cereus</i> Sepsis
Children
preterm
newborn
linezolid
<i>B. cereus</i>
invasive infection
sepsis
title Enteral Linezolid as an Effective Option to Treat an Extremely Preterm Infant with <i>Bacillus cereus</i> Sepsis
title_full Enteral Linezolid as an Effective Option to Treat an Extremely Preterm Infant with <i>Bacillus cereus</i> Sepsis
title_fullStr Enteral Linezolid as an Effective Option to Treat an Extremely Preterm Infant with <i>Bacillus cereus</i> Sepsis
title_full_unstemmed Enteral Linezolid as an Effective Option to Treat an Extremely Preterm Infant with <i>Bacillus cereus</i> Sepsis
title_short Enteral Linezolid as an Effective Option to Treat an Extremely Preterm Infant with <i>Bacillus cereus</i> Sepsis
title_sort enteral linezolid as an effective option to treat an extremely preterm infant with i bacillus cereus i sepsis
topic preterm
newborn
linezolid
<i>B. cereus</i>
invasive infection
sepsis
url https://www.mdpi.com/2227-9067/9/3/415
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