We report three newborns with different manifestations of Ureaplasma urealyticum infection; a term newborn with acute neonatal pneumonia and two very low birth weight infants with bronchopulmonary dysplasia and osteomyelitis of the femur, respectively. The association of U. urealyticum with acute and chronic respiratory disease in term and preterm newborns has recently been reported. Our two cases are similar to other case reports from the literature, but we were unable to find any previous reports of osteomyelitis due to U. urealyticum in the premature babies. Isolation of U. urealyticum in pure culture from the blood was considered to be related to local infection in all three patients. All patients were cured by erythromycin.
We are reporting on a very low birth weight male infant with osteomyelitis of the right femur during blood stream infection with Ureaplasma urealyticum. After previously recognized pulmonary and central nervous system infections, our case description link U. urealyticum to bone disease, widening the spectrum of pathologic conditions in neonates due to this agents.
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