Ghorashi et al. Journal of Medical Case Reports 2011, 5:241 http://www.jmedicalcasereports.com/content/5/1/241 Iran. 4Faculty of Health and Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran. Authors’ contributions ZG, HH and SG collected the patient data and participated in the patient’s hospitalization and treatment process. NN was a major contributor in writing the manuscript. JST helped to revise and edit the manuscript. All authors read and approved the final manuscript. Competing interests The authors declare that they have no competing interests. Received: 1 February 2010 Accepted: 27 June 2011 Published: 27 June 2011 References 1. Donnenberg MS: Enterobacteriaceae. In Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases. Volume II.. 6 edition. Edited by: Mandell GL, Bennett JE, Dolin R. New York: Elsevier/Churchill Livingstone; 2005:2567-2586. 2. Feigin RD, Cherry J, Demmler-Harrison GJ, Kaplan SL: Feigin and Cherry’s Textbook of Pediatric Infectious Diseases. 5 edition. Philadelphia: Saunders; 2004. 3. Asensio A, Oliver A, González-Diego P, Baquero F, Pérez-Díaz JC, Ros P, Cobo J, Palacios M, Lasheras D, Cantón R: Outbreak of a multiresistant Klebsiella pneumoniae strain in an intensive care unit: antibiotic use as risk factor for colonization and infection. Clin Infect Dis 2000, 30:55-60. 4. Yalaz M, Arslanoğlu S, Çetin H, Aydemir Ş, Tünger A, Akısü M, Kültürsay N: Evaluation of culture-proven sepsis in a level III NICU: a two year analysis. Adnan Menderes Üniversitesi Tip Fakültesi Dergisi 2004, 5:5-9. 5. Turkish Neonatal Society; Nosocomial Infections Study Group: Nosocomial infections in neonatal units in Turkey: epidemiology, problems, unit policies and opinions of healthcare workers. Turk J Pediatr 2010, 52:50-57. 6. Cordero L, Rau R, Taylor D, Ayers LW: Enteric gram-negative bacilli bloodstream infections: 17 years’ experience in a neonatal intensive care unit. Am J Infect Control 2004, 32:189-195. 7. Nelson JD, Koontz WC: Septic arthritis in infants and children: a review of 117 cases. Pediatrics 1966, 38:966-971. 8. Adeyemo AA, Akindele JA, Omokhodion SI: Klebsiella septicemia, osteomyelitis and septic arthritis in neonates in Ibadan, Nigeria. Ann Trop Pediatr 1993, 13:285-289. 9. Westbrook GL, O’Hara CM, Roman SB, Miller JM: Incidence and identification of Klebsiella planticola in clinical isolates with emphasis on newborns. J Clin Microbiol 2000, 38:1495-1497. 10. Ghahramani P, Nahaie MR: Klebsiella sepsis in neonates admitted to Al- Zahra Hospital, Tabriz. Med J Tabriz Univ Med Sci 2002, 35:69-73. 11. Tang LM, Chen ST, Hsu WC, Chen CM: Klebsiella meningitis in Taiwan: an overview. Epidemiol Infect 1997, 119:135-142. 12. Smith CE, Tillman BS, Howell AW, Longfield RD, Jorgensen JH: Failure of ceftazidime-amikacin therapy for bacteremia and meningitis due to Klebsiella pneumoniae producing an extended-spectrum β-lactamase. Antimicrob Agents Chemother 1990, 34:1290-1293. 13. Akindele JA, Rotilu IO: Outbreak of neonatal Klebsiella septicemia: a review of antimicrobial sensitivities. J Med Sci 1997, 26:51-53. 14. Ingham B, Brentnall DW, Dale EA, McFadzean JA: Arthropathy induced by antibacterial fused N-alkyl-4-pyridone-3-carboxylic acids. Toxicol Lett 1977, 1:21-26. 15. Grady R: Safety profile of quinolone antibiotics in the pediatric population. Pediatr Infect Dis J 2003, 22:1128-1132. 16. Nicholson JF, Pesce MA: Laboratory medicine, drug therapy and reference tables. In Nelson Textbook of Pediatrics.. 17 edition. Edited by: Behrman RE, Kliegman R, Jenson HB. Philadelphia: Saunders; 2004:2393-2505. doi:10.1186/1752-1947-5-241 Cite this article as: Ghorashi et al.: Arthritis, osteomyelitis, septicemia and meningitis caused by Klebsiella in a low-birth-weight newborn: a case report. Journal of Medical Case Reports 2011 5:241. Page 4 of 4 Submit your next manuscript to BioMed Central and take full advantage of: • Convenient online submission • Thorough peer review • No space constraints or color ﬁgure charges • Immediate publication on acceptance • Inclusion in PubMed, CAS, Scopus and Google Scholar • Research which is freely available for redistribution Submit your manuscript at www.biomedcentral.com/submit