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Klebsiella pneumoniae (K. pneumoniae) causing brain abscess in newborn infants is rare. Presented herein, is a 27-day-old male neonate who developed two frontal lobe abscesses in association with K. pneumoniae sepsis and meningitis. Antibiotic susceptibility testing utilizing the double-disk synergy method (Cefotaxime and Amoxycillin-Clavulanate) confirmed the extended spectrum betalactamase (ESBL) production by the isolate. He was treated simultaneously with antibiotics (Meropenem and Amikacin) and abscess aspiration through the anterior fontanelle, with less than satisfactory outcome. ESBL producing K. pneumoniae brain abscess in neonates is extremely rare in the English literature. Emperical carbapenems and aminoglycoside coverage in neonates with K. pneumoniae sepsis and brain abscess, especially in areas with high rate of ESBL producing bacteria may be warranted. [ABSTRACT FROM AUTHOR]

Myiasis is the invasion of host's tissues by the larval stage (maggot) of non-biting flies. It usually infects domestic and wild animals, but sometimes also affects human and is commonly found in the tropical and subtropical areas. Umbilical myiasis in the neonatal period associated with sepsis is a rare occurrence with few reported cases in the literature. We report a case of a 20-days-old neonate from a rural area of West Bengal, India, presented with neonatal sepsis due to umbilical myiasis caused by larval form of blow fly (Chrysomya megacephala). [ABSTRACT FROM AUTHOR]