Neck Swelling and Fussiness in an 8-week-old Infant.

Published on Jun 1, 2021in Pediatrics in Review
· DOI :10.1542/PIR.2020-0020
David S Kim (University of Texas Health Science Center at Houston), Abiara V. Agwu (University of Texas Health Science Center at Houston), Carol J. Baker18
Estimated H-index: 18
(University of Texas Health Science Center at Houston)
#1Karen M. Puopolo (UPenn: University of Pennsylvania)H-Index: 29
#2Ruth LynfieldH-Index: 82
Last. NewbornH-Index: 22
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Group B streptococcal (GBS) infection remains the most common cause of neonatal early-onset sepsis and a significant cause of late-onset sepsis among young infants. Administration of intrapartum antibiotic prophylaxis is the only currently available effective strategy for the prevention of perinatal GBS early-onset disease, and there is no effective approach for the prevention of late-onset disease. The American Academy of Pediatrics joins with the American College of Obstetricians and Gynecolog...
37 CitationsSource
#1Srinivas Acharya Nanduri (CDC: Centers for Disease Control and Prevention)H-Index: 5
#2Susan PetitH-Index: 30
Last. Stephanie J. Schrag (CDC: Centers for Disease Control and Prevention)H-Index: 66
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Importance Invasive disease owing to group BStreptococcus(GBS) remains an important cause of illness and death among infants younger than 90 days in the United States, despite declines in early-onset disease (EOD; with onset at 0-6 days of life) that are attributed to intrapartum antibiotic prophylaxis (IAP). Maternal vaccines to prevent infant GBS disease are currently under development. Objective To describe incidence rates, case characteristics, antimicrobial resistance, and serotype distribu...
58 CitationsSource
#1Eric Giannoni (UNIL: University of Lausanne)H-Index: 19
#2Philipp Agyeman (University of Bern)H-Index: 12
Last. Luregn J. SchlapbachH-Index: 33
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Objective To assess the epidemiology of blood culture-proven early- (EOS) and late-onset neonatal sepsis (LOS). Study design All newborn infants admitted to tertiary care neonatal intensive care units in Switzerland and presenting with blood culture-proven sepsis between September 2011 and December 2015 were included in the study. We defined EOS as infection occurring 48 hours after admission. Incidence was estimated based on the number of livebirths in Switzerland and adjusted for the proportio...
44 CitationsSource
#1Monika WojteraH-Index: 2
#2Horace Cheng (UWO: University of Western Ontario)H-Index: 2
Last. Julie E. StrychowskyH-Index: 8
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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 ...
1 CitationsSource
#1Yukako YokouchiH-Index: 1
#2Hiroshi KatsumoriH-Index: 1
Last. Yuji KoikeH-Index: 1
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Group B streptococcus (GBS) infection remains a leading cause of serious neonatal and early infantile infection. As the infection often presents with nonspecific symptoms, and is associated with underlying bacteremia, prompt investigation and treatment is required. We report a case of late, late-onset GBS infection with bacteremia in a 94-day-old boy experiencing cellulitis of the left hand. Although late-onset disease or late, late-onset disease has been reported to be common among infants with...
#1Tobias Strunk (UWA: University of Western Australia)H-Index: 21
#2David Burgner (University of Melbourne)H-Index: 60
A 33-week gestational age female infant was delivered by non-elective caesarean section for intrauterine growth restriction (birth weight 1130 g). She received continuous positive airway pressure support for 72 h and empiric penicillin and gentamicin for 48 h. Initial blood culture, full blood count and C reactive protein were normal. The …
#1Gabrielle C. Geddes (Boston Children's Hospital)H-Index: 9
#2Mark M. Butterly (RFUMS: Rosalind Franklin University of Medicine and Science)H-Index: 2
Last. Silvio Marra (Boston Children's Hospital)H-Index: 4
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1. Gabrielle Geddes, MD* 2. Mark M. Butterly, MD*,† 3. Sonali Mehta Patel, MD*,† 4. Silvio Marra, MD* 1. *Advocate Hope Children’s Hospital, Oak Lawn, IL. 2. †Rosalind Franklin University of Medicine and Science, North Chicago, IL. * CRP: : C-reactive protein CT: : computed tomography ESR: : erythrocyte sedimentation rate FNA: : fine needle aspiration MRI: : magnetic resonance imaging A variety of lesions, some malignant, can manifest as masses in the neck, presenting real diagnostic challenges....
15 CitationsSource
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 submandibula...
4 CitationsSource
Introduction The relation between cellulitis and Group B streptococcus infection in newborns and small infants was first reported during the early 1980s and named cellulitis-adenitis syndrome. We report a case of a neonate with cellulitis-adenitis syndrome in an unusual location (retroauricular).
3 CitationsSource
The case of a premature intra-uterine growth retardation (IUGR) infant, born from caesarean section to a mother with hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome, and admitted to NICU for low birth weight is reported. The baby girl was fed with pasteurized maternal milk, and she had a normal growth. Before discharge, at the age of 23 days of life, she started to be breast-fed from the mother. Suddenly, the infant presented inconsolable crying, and then she appeared pale, hyp...
13 CitationsSource
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