Bilateral Congenital Chylothorax With Neonatal Ventilator-Associated Pneumonia and Sepsis: Diagnostic and Therapeutic Challenges: A Case Report

25 May 2026 : Case report Kosovo

Unknown etiology, Challenging differential diagnosis, Management of emergency care

Leon B. Hajdari^{ABEF 1}, Melihate Çekaj^{BCD 2*}, Bese R. Morina^{DG 1}, Vlere R. Morina^{DE 1}

DOI: 10.12659/AJCR.952519

Am J Case Rep 2026; 27:e952519

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Table 6 Microbiological results by day of life (DOL) across different specimen types.

Day of life	Specimen type	Method	Results	Organism	Antibiogram
DOL 13	Endotracheal aspirate	Gram stain and culture	Positive		Sensitive to Tobramycin, Cefepime, Ciprofloxacin, Ampicillin-Sulbactam
DOL 19	Endotracheal aspirate	Gram stain and culture	Positive		Sensitive only to Tobramycin
DOL 24	Endotracheal aspirate	Gram stain and culture	Positive		Sensitive to Meropenem, Imipenem, Ciprofloxacin, Piperacillin-Tazobactam
DOL 13	Pleural fluid (aspirate)	Gram stain and culture	Sterile	N/A	N/A
DOL 21	Pleural fluid (aspirate)	Gram stain and culture	Sterile	N/A	N/A
DOL 27	Pleural fluid (aspirate)	Gram stain and culture	Sterile	N/A	N/A
DOL 4	Blood culture	Gram stain and culture	Sterile	N/A	N/A
DOL 9	Blood culture	Gram stain and culture	Sterile	N/A	N/A
DOL 31	Blood culture	Gram stain and culture	Positive		Sensitive to Meropenem, Imipenem, Piperacillin-Tazobactam, Ciprofloxacin
DOL 40	Blood culture	Gram stain and culture	Bacterial flora		Contaminated sample (mixed flora)
DOL 4	Urine culture	Gram stain and culture	Sterile	N/A	N/A
DOL 9	Urine culture	Gram stain and culture	Positive		Sensitive to Tobramycin, Piperacillin-Tazobactam, Imipenem, Meropenem,
N/A – not applicable.

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