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PEDIATRICS Vol. 111 No. 3 March 2003, pp. e296-e298

ELECTRONIC ARTICLE

Maternal Colonization and Neonatal Sepsis Caused by Edwardsiella tarda

Erin E. Mowbray, MD*, George Buck, PhD{ddagger}, Kraig E. Humbaugh, MD, MPH* and Gary S. Marshall, MD*

* Department of Pediatrics, University of Louisville School of Medicine, Louisville, Kentucky
{ddagger} Microbiology Laboratory, Norton Healthcare, Louisville, Kentucky

--> A case of neonatal sepsis caused by Edwardsiella tarda, a bacterium usually associated with freshwater ecosystems, is described. The infant’s mother was immersed in lake water during the sixth month of pregnancy and had vaginal and gastrointestinal colonization with the same strain of E tarda as the infant at the time of delivery. This case suggests that maternal exposures to contaminated bodies of water during pregnancy may represent a risk to newborns.

Key Words: water-borne infection • Gram-negative bacteria • neonatal sepsis

Abbreviations: CSF, cerebrospinal fluid • rep-PCR, repetitive extragenic palindromic polymerase chain reaction

Received for publication Jul 22, 2002; Accepted Oct 10, 2002.