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She developed septicemia, meningitis, polyarticular arthritis and osteomyelitis by nosocomial<jats:italic>K. pneumoniae<\/jats:italic>which was resistant to most antibiotics except ciprofloxacin. She was therefore treated with ciprofloxacin and co-trimoxazole for eight weeks. After completion of the treatment course, she completely improved with excellent weight gain and without any adverse effects during three years of follow-up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In the resistant strain of<jats:italic>K. pneumoniae<\/jats:italic>, ciprofloxacin could be considered as a therapeutic option with the prospect of a good outcome, even in neonates and infants.<\/jats:p><\/jats:sec>","DOI":"10.1186\/1752-1947-5-241","type":"journal-article","created":{"date-parts":[[2011,6,28]],"date-time":"2011-06-28T10:06:04Z","timestamp":1309255564000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Arthritis, osteomyelitis, septicemia and meningitis caused by Klebsiella in a low-birth-weight newborn: a case report"],"prefix":"10.1186","volume":"5","author":[{"given":"Ziaaedin","family":"Ghorashi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nariman","family":"Nezami","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamideh","family":"Hoseinpour-feizi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sona","family":"Ghorashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jafar Sadegh","family":"Tabrizi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2011,6,27]]},"reference":[{"key":"1607_CR1","first-page":"2567","volume-title":"Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases","author":"MS Donnenberg","year":"2005","unstructured":"Donnenberg MS: Enterobacteriaceae. 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