{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T10:06:31Z","timestamp":1789207591342,"version":"build-2803163510"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:00:00Z","timestamp":1789171200000},"content-version":"vor","delay-in-days":254,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Infectious Diseases"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    Late\u2010onset sepsis secondary to urinary tract infection in preterm infants is frequently underdiagnosed and rarely reported. Establishing this diagnosis remains challenging, as clinical manifestations are often nonspecific, inflammatory markers may be inconclusive, and urinalysis is not routinely performed in many NICUs. We report a case of urosepsis originating from\n                    <jats:italic>Klebsiella pneumoniae\u2013<\/jats:italic>\n                    associated cystitis in a 41\u2010day\u2010old preterm infant who had been admitted to our NICU since birth. The infant had multiple risk factors for sepsis, including prolonged mechanical ventilation and the presence of an indwelling central line. This case highlights the importance of maintaining a high suspicion index for urinary tract infection in preterm neonates with unexplained clinical deterioration and emphasizes the need for early urine evaluation as part of the sepsis workup.\n                  <\/jats:p>","DOI":"10.1155\/crdi\/3455145","type":"journal-article","created":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T09:21:12Z","timestamp":1789204872000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Rare Case Report of Nosocomial Urosepsis due to\n                    <i>Klebsiella pneumoniae<\/i>\n                    in a Preterm Neonate Complicated by Acute Cystitis"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7681-2008","authenticated-orcid":false,"given":"Bormey","family":"Sim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8614-4870","authenticated-orcid":false,"given":"Sakada","family":"Kok","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2418-5444","authenticated-orcid":false,"given":"Sethikar","family":"Im","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2513-8690","authenticated-orcid":false,"given":"Sakviseth","family":"Bin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,12]]},"reference":[{"key":"e_1_2_12_1_2","doi-asserted-by":"publisher","DOI":"10.1097\/mop.0000000000000315"},{"key":"e_1_2_12_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2014-306213"},{"key":"e_1_2_12_3_2","doi-asserted-by":"publisher","DOI":"10.1542\/neo.23-10-e738"},{"key":"e_1_2_12_4_2","first-page":"319","article-title":"Infections of the Urinary Tract in the Newborn and Infants","volume":"19","author":"Cataldi L.","year":"1997","journal-title":"Pediatria Medica e Chirurgica, La"},{"key":"e_1_2_12_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-200x.2004.01837.x"},{"key":"e_1_2_12_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2024.10.003"},{"key":"e_1_2_12_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2021.05.012"},{"key":"e_1_2_12_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/mop.0b013e32834f0423"},{"key":"e_1_2_12_9_2","doi-asserted-by":"publisher","DOI":"10.3233\/npm-230101"},{"key":"e_1_2_12_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/19.6.315"},{"key":"e_1_2_12_11_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.45530"},{"key":"e_1_2_12_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-024-10201-w"},{"key":"e_1_2_12_13_2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2015\/509484","article-title":"Epidemiology of Neonatal Sepsis and Implicated Pathogens: A Study From Egypt","volume":"2015","author":"Shehab El-Din E. M. R.","year":"2015","journal-title":"Biomed Research International"},{"key":"e_1_2_12_14_2","doi-asserted-by":"publisher","DOI":"10.7554\/eLife.50468"},{"key":"e_1_2_12_15_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0293949"},{"key":"e_1_2_12_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2026.02.006"},{"key":"e_1_2_12_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2024-015862"},{"key":"e_1_2_12_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/inf.0000000000004815"},{"key":"e_1_2_12_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/inf.0000000000004485"},{"key":"e_1_2_12_20_2","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.21037\/apm-20-958","article-title":"Characterization of a Multidrug-Resistant Klebsiella pneumoniae ST3330 Clone Responsible for a Nosocomial Outbreak in a Neonatal Intensive Care Unit","volume":"9","author":"Shao L.","year":"2020","journal-title":"Annals of Palliative Medicine"}],"container-title":["Case Reports in Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crdi\/3455145","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/crdi\/3455145","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crdi\/3455145","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T09:21:14Z","timestamp":1789204874000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/crdi\/3455145"}},"subtitle":[],"editor":[{"given":"Priya","family":"Gusain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/crdi\/3455145"],"URL":"https:\/\/doi.org\/10.1155\/crdi\/3455145","archive":["Portico"],"relation":{},"ISSN":["2090-6625","2090-6633"],"issn-type":[{"value":"2090-6625","type":"print"},{"value":"2090-6633","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-12-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"3455145"}}