A Unique Case of Urinary Tract Pathology in a Neonate

REPORTgrew 10-10 C. tuberculostearicum, which was resistant to ceftriaxone (MIC >2), meropenem (MIC >8), and penicillin (MIC >8) but sensitive to vancomycin (MIC <1), identified by matrix-assisted laser desorption/ionization-time of flight (MALDI-TOF) and wholegenome sequencing at Mayo Clinic Laboratories.Ultrasound of the IntroductIonNeonatal urinary tract infections (UTIs) typically present primarily with fever and, depending on severity, can also present with some nonspecific symptoms including lethargy, poor feeding, or vomiting.The most common pathogens associated with neonatal UTIs include Escherichia coli, Enterococcus, and Klebsiella species. 1 In this case, we present an uncommon presentation of neonatal UTI caused by a rare pathogen in the neonatal population.