TABLE 3

Details of the 5 Cases of True Bacteremia

No.Blood Culture PathogenAge (y)PICUToxicMedical HistoryWBC Count (×103/mL)Chest Radiograph ResultPleural Fluid Culture ResultAntibiotics
1aGroup A Streptococcus2YesNoCongenital chylothorax19.2Effusion/empyemaNegativeInitial: vancomycin, cefotaxime
Final: clindamycin
2S pneumoniae1NoYesNone20.8Effusion/empyemaS pneumoniaeInitial: vancomycin, ceftriaxone
Final: levofloxacin
3bE coli<1YesYesTraumatic birth36Effusion/empyemaE coliInitial: ampicillin, cefotaxime, vancomycin
Final: amoxicillin
4S pneumoniae2YesNoNone14.6Effusion/empyemaNegativeInitial: ceftriaxone, vancomycin
Final: linezolid
5S pneumoniae5YesNoNone26Effusion/empyemaNegativeInitial: ceftriaxone, vancomycin, clindamycin added
Final: amoxicillin-clavulanate, clindamycin
  • a This patient previously underwent resection of the right lobe of the lung.

  • b This patient was <1 month of age and presented to the PICU in urosepsis. Ultimately, E coli was isolated in the urine, blood, and pleural fluid and from a scalp abscess.