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  • Title: Sepsis and lung abscess following malposition of an umbilical vein catheter in a neonate.
    Author: Ihm K, Bosk A, Szavay P, Schaefer J, Hofbeck M.
    Journal: Klin Padiatr; 2009; 221(2):76-7. PubMed ID: 19263327.
    Abstract:
    BACKGROUND: Umbilical vein catheterisation is a common and useful procedure in the care of critically ill newborns, but several complications may occur. PATIENTS: We report on a newborn, who developed sepsis and necrotizing pneumonia of the right middle lobe due to extended spectrum beta lactamase (ESBL) Klebsiella following malposition of an umbilical vein catheter into a right pulmonary vein. RESULTS: Due to failed conservative treatment the child required lobectomy of the right middle lobe. CONCLUSION: Our case highlights the importance of exact determination of the position of central catheters by x-ray and/or ultrasound immediately after placement.
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