{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T16:15:54Z","timestamp":1759335354332,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,2,25]]},"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:p>An ex-30-week gestation, preterm male baby was admitted to a tertiary neonatal unit and noted to have increased ventilator requirements and diagnosed with sepsis. The baby also developed an abscess over the left elbow and over the xiphisternum along with a decrease in movement of the left hand and the right leg. Panton-Valentine leukocidin (PVL)-producing <jats:italic>Staphylococcus aureus<\/jats:italic> (SA) was isolated from the blood culture. A whole body MRI showed disseminated abscess with multiple foci in the lung, left elbow and over the xiphisternum. Disseminated sepsis with multiple septic foci has not been previously reported in neonates. We would like to highlight the fact that sepsis due to PVL toxin-producing SA can cause significant morbidity and mortality in neonates. Proper screening should be done to rule out septic foci in neonates. MRI is a good non-invasive investigation to document septic foci in a neonate and rule out multiorgan involvement.<\/jats:p>","DOI":"10.1136\/bcr-2018-226325","type":"journal-article","created":{"date-parts":[[2019,3,16]],"date-time":"2019-03-16T04:54:15Z","timestamp":1552712055000},"page":"e226325","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Unusual presentation of late-onset disseminated staphylococcal sepsis in a preterm infant"],"prefix":"10.1136","volume":"12","author":[{"given":"Shahzad Gul","family":"Khattak","sequence":"first","affiliation":[{"name":"Neonatal Intensive Care Unit, St Mary\u2019s Hospital, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Dady","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, St Mary\u2019s Hospital, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Devdeep","family":"Mukherjee","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, St Mary\u2019s Hospital, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,3,15]]},"reference":[{"key":"2025082800570021000_12.3.e226325.1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2009.178798"},{"key":"2025082800570021000_12.3.e226325.2","doi-asserted-by":"publisher","DOI":"10.3201\/eid1207.050865"},{"key":"2025082800570021000_12.3.e226325.3","doi-asserted-by":"publisher","DOI":"10.1271\/bbb.61.565"},{"key":"2025082800570021000_12.3.e226325.4","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/171.3.607"},{"key":"2025082800570021000_12.3.e226325.5","doi-asserted-by":"publisher","DOI":"10.1086\/591803"},{"key":"2025082800570021000_12.3.e226325.6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2012.03987.x"},{"key":"2025082800570021000_12.3.e226325.7","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.curtheres.2012.04.002","article-title":"Linezolid effects on bacterial toxin production and host immune response: review of the evidence","volume":"73","author":"Diep","year":"2012","journal-title":"Curr Ther Res Clin Exp"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-226325","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:57:09Z","timestamp":1756367829000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-226325"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":7,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,3,15]]},"published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1136\/bcr-2018-226325"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-226325","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,3]]}}}