LegenDAIRY Pink Breast Milk: A Case of Serratia Marcescens Colonization.

IF 1.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Lt Michael J Goldstein, Maj Bethany L Charron
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引用次数: 0

Abstract

Serratia marcescens is a rare colonizer of breast milk in the community setting, and sufficient bacterial burden to manifest clinical disease is even more uncommon; however, neonatal outcomes from S. marcescens infections in the inpatient setting can be devastating to include sepsis and neonatal demise. Given this risk and the paucity of case reports, recommendations range from expectant management to prophylactic antibiotics and cessation of breastfeeding. Here we present a literature review and a case of S. marcescens colonization obscured by symptoms in both the patient and her infant. A 30-year-old G8P4135 who was exclusively breastfeeding her 2-month-old infant contacted the Women's Health Clinic via her electronic medical record portal with a concern for contaminated breast milk after the milk left in a bottle overnight turned bright pink. Milk cultures from bilateral nipples showed colonization with S. marcescens. Following a literature review, decision was made to encourage continued breastfeeding and forego prophylactic antibiotics. She subsequently developed a febrile upper respiratory illness, and workup was negative for bacteremia with S. marcescens. Her colonization ultimately resolved spontaneously, and she continued breastfeeding without complication.Precis: Serratia marcescens is an uncommon colonizer of breast milk that does not require prophylactic antibiotics or cessation of breastfeeding in most cases. Precis:  Serratia marcescens is an uncommon colonizer of breast milk that does not require prophylactic antibiotics or cessation of breastfeeding in most cases.

传奇乳业粉色母乳:粘质沙雷氏菌定植病例。
粘质沙雷菌在社区环境中是一种罕见的母乳定植菌,而足够的细菌负担表现为临床疾病更是罕见;然而,在住院环境中,粘质葡萄球菌感染的新生儿结局可能是毁灭性的,包括败血症和新生儿死亡。鉴于这种风险和病例报告的缺乏,建议范围从预期管理到预防性抗生素和停止母乳喂养。在这里,我们提出的文献综述和一个病例粘质葡萄球菌定植模糊的症状,在病人和她的婴儿。一名纯母乳喂养其2个月大婴儿的30岁G8P4135妇女通过其电子病历门户网站联系了妇女健康诊所,她担心母乳被污染,因为瓶子里的牛奶一夜之间变成了亮粉红色。双侧乳头的乳培养显示粘质葡萄球菌的定植。根据文献回顾,决定鼓励继续母乳喂养并放弃预防性抗生素。随后,她出现发热性上呼吸道疾病,检查结果为粘质葡萄球菌菌血症阴性。她的殖民化最终自然消退,她继续母乳喂养,没有并发症。简明:粘质沙雷氏菌是一种罕见的母乳定植菌,在大多数情况下不需要预防性抗生素或停止母乳喂养。简明:粘质沙雷氏菌是一种罕见的母乳定植菌,在大多数情况下不需要预防性抗生素或停止母乳喂养。
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来源期刊
Military Medicine
Military Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
2.20
自引率
8.30%
发文量
393
审稿时长
4-8 weeks
期刊介绍: Military Medicine is the official international journal of AMSUS. Articles published in the journal are peer-reviewed scientific papers, case reports, and editorials. The journal also publishes letters to the editor. The objective of the journal is to promote awareness of federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members’ writings.
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