Proteus Mirabilis Septicemia and Meningitis in a Neonate
Bibliographic record
Abstract
A 6-day-old premature baby boy presented in a pediatric clinic for severe jaundice, poor feeding and lethargy. He was born to a 24-year-old mother who was primigravida. Pregnancy was complicated by gestational diabetes, appropriately treated chlamydial infection, oligohydramnios and inadequate prenatal care. On physical examination, he was hypotonic and irritable with significant jaundice seen from his head to his lower extremities. Transcutaneous bilirubin obtained in clinic showed a level of 14 mg/dL. A serum bilirubin level was immediately ordered and it confirmed an elevated unconjugated bilirubin level of 18.9 mg/dL. He was admitted to the inpatient unit and a full septic work-up was initiated. Appropriate antibiotics were administered to cover for the most common pathogen involved in neonatal sepsis. A few hours into the admission, his condition deteriorated requiring intubation for multiple consecutive apneic episodes and seizure-like activity. Initial laboratory evaluation included an abnormal white blood cell count of 2,600/ µ L with left shift, elevated lactic acid of 9 mmol/L and a low bicarbonate level of 16 mmol/L further confirming acidosis. Analysis of cerebrospinal fluid revealed a white blood cell count of > 300/ µ L, low glucose with a level of 7 mg/dL and elevated protein level of 645 mg/dL. Due to his rapid clinical deterioration a few hours into the admission, a computed tomography scan of the brain was obtained. Computed tomography scan of brain showed significant damage to brain parenchyma consistent with anoxic brain injury. He expired on his second day of admission. Proteus mirabilis was the causative agent. J Med Cases. 2014;5(4):245-247 doi: http://dx.doi.org/10.14740/jmc1290w
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".