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An infant developed early respiratory distress after delivery at 34 weeks gestation after prolonged rupture of membranes. Citrobacter freundii was cultured from a maternal midstream urine sample at delivery. C freundii, resistant to ampicillin but sensitive to gentamicin, cephalosporins, and ciprofloxacin, was isolated from neonatal blood cultures taken on admission. Gram negative rods were seen on microscopy of cerebrospinal fluid (CSF), with no white cells and 730 …