A 3033g male infant was born to a healthy mother at 39 weeks gestation by normal vaginal delivery with Grade 1 meconium stained liquor. There was no prolonged rupture of membranes or any antenatal risk factors for sepsis. The immediate neonatal period was uneventful and the baby was discharged after two days. At 6 weeks of age the baby was admitted with an 8-hour history of inconsolable crying. He was pyrexial. Initially the possibility of intussuception was considered, however, the submandibular swelling became more obvious and tender. His airway was clear. Chest x-ray and abdominal x-ray were normal. Ultrasound of the submandibular region showed soft tissue swelling with no fluid collection. CRP was initially 0.7 but increased to 87 the next day. Blood cultures grew group B streptococcus. (GBS) He was treated for five days with appropriate intravenous antibiotics. He was discharged home and recovered fully.
Sepsis and meningitis are the major clinical manifestations of group B streptococcal (GBS) infections in neonates, but GBS can cause a wide spectrum of presentations ranging from asymtomatic bacteraemia to fulminate septicaemia and shock. To our knowledge this is the first report of isolated neonatal lymphadenitis as a manifestation of late onset GBS disease.
Group B streptococcus (Streptococcus agalactiae) is still of great relevance in the perinatal period, although maternal antimicrobial prophylaxis has significantly reduced the rate of culture-confirmed invasive infection in neonates. This strategy, however, raises considerable concern because preter
• Seven infants with group B streptococcal (GBS) cellulitis-adenitis were compared with nine previously described patients. The clinical features of infection included a mean age at onset of five weeks, a male predominance (75%), a history of poor feeding or irritability (94%), and a rapid resolution with appropriate antimicrobial therapy. Bacteremia occurred in 94% of the patients. Type III GBS were associated with 75% of these infections; no antibody response to the capsular antigen of these o...
BACKGROUND: There is no consensus regarding approaches to infantile group B streptococcal (GBS) head and neck cellulitis and necrotizing fasciitis. We present a case of GBS necrotizing cellulitis and summarize the literature regarding the presentation and management of infantile head and neck GBS cellulitis and necrotizing fasciitis. METHODS: The literature was searched using PubMed, Web of Science, EMBASE and Medline (inception to April 2017) by 2 independent review authors. Inclusion criteria ...
Last. A. Faye(French Institute of Health and Medical Research)H-Index: 1
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Resume Peu d’etudes decrivent l’incidence et l’evolution des dermo-hypodermites neonatales a streptocoque du groupe B (SGB). Objectifs Decrire l’incidence, les caracteristiques cliniques et evolutives de la dermo-hypodermite dans le cadre d’une infection a SGB chez le nourrisson de moins de 3 mois. Patients et methodes Les nourrissons âges de moins de 3 mois hospitalises a l’hopital Robert-Debre (Paris) et au centre hospitalier d’Orsay entre janvier 2002 et aout 2013 pour une dermo-hypodermite a...
Resume Le « testicule aigu » est une affection inhabituelle de la periode neonatale. La torsion testiculaire doit etre evoquee en premier lieu afin de sauver le testicule atteint et une exploration chirurgicale doit etre envisagee en urgence le cas echeant. Le principal diagnostic differentiel est l’orchi-epididymite dont quelques cas ont ete decrits durant la periode neonatale. Nous rapportons un cas d’orchi-epididymite revelant un sepsis tardif avec atteinte meningee a streptocoque B chez un n...
In this next instalment of what I have learnt over on BMJ Case Reports , I thought I would take a ‘things located in the neck’ tack and following this theme I have found three cases that indicate conditions that perhaps could be added to …
While reviewing over on BMJ Case Reports , I have come across some very curious paediatric articles and some that are not even catalogued under the paediatric specialty section but related to our practice. They can be found in the archive under the clinical and non-clinical sections. There is an abundance of weird and …