Exchange transfusion (ET) is the most effective method for treatment of severe hyperbilirubinemia and is often required in Rhesus hemolytic disease of the newborn. The use of ET is also associated with adverse reactions, including severe catheter related infectious complications. We report a term neonate with Rhesus hemolytic disease of the newborn treated with an ET through an umbilical venous catheter who developed brain abscesses due to a Bacillus cereus sepsis. This severe complication has not previously been reported. We discuss possible causes for this severe infection and provide suggestions on prevention.
Keywords
Rh isoimmunization - exchange transfusion - brain abscess -
Bacillus cereus
