Late Onset Streptococcus agalactiae Meningitis following Early Onset Septicemia: A Preventable Disease?
We report a neonate who presented with early onset Streptococcus agalactiae or group B streptococcus (GBS) septicemia within 24 hours of birth. After discharge at day 14, she went on to develop late onset GBS meningitis at 36 days of age. The infant was treated with intravenous antibiotics on both o...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2017/8418105 |
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| author | Kam Lun Hon King Hang Chan Pak Long Ko King Woon So Alexander K. C. Leung |
| author_facet | Kam Lun Hon King Hang Chan Pak Long Ko King Woon So Alexander K. C. Leung |
| author_sort | Kam Lun Hon |
| collection | DOAJ |
| description | We report a neonate who presented with early onset Streptococcus agalactiae or group B streptococcus (GBS) septicemia within 24 hours of birth. After discharge at day 14, she went on to develop late onset GBS meningitis at 36 days of age. The infant was treated with intravenous antibiotics on both occasions and eventually discharged home with no apparent sequelae. We address issues associated with GBS infection in infancy including the demographics, risk factors, and the risk of late onset GBS meningitis following an early onset GBS infection. The major source of GBS in early onset GBS disease is maternal birth canal GBS colonization. On the other hand, nosocomial cross-infection is an important source of GBS in late onset disease. Penicillin remains the current treatment of choice for GBS infection. Given the rapid onset and progression within hours of birth and lack of an effective solution for preventing late onset GBS, administration of an effective GBS vaccine in pregnancy could provide a sensible and cost-effective solution in all settings. |
| format | Article |
| id | doaj-art-6be65ee2eecc44b1b500208c6c542061 |
| institution | OA Journals |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-6be65ee2eecc44b1b500208c6c5420612025-08-20T02:06:11ZengWileyCase Reports in Pediatrics2090-68032090-68112017-01-01201710.1155/2017/84181058418105Late Onset Streptococcus agalactiae Meningitis following Early Onset Septicemia: A Preventable Disease?Kam Lun Hon0King Hang Chan1Pak Long Ko2King Woon So3Alexander K. C. Leung4The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong KongFaculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong KongFaculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong KongDepartment of Paediatrics, Prince of Wales Hospital, Shatin, Hong KongDepartment of Pediatrics, The University of Calgary, Calgary, AB, CanadaWe report a neonate who presented with early onset Streptococcus agalactiae or group B streptococcus (GBS) septicemia within 24 hours of birth. After discharge at day 14, she went on to develop late onset GBS meningitis at 36 days of age. The infant was treated with intravenous antibiotics on both occasions and eventually discharged home with no apparent sequelae. We address issues associated with GBS infection in infancy including the demographics, risk factors, and the risk of late onset GBS meningitis following an early onset GBS infection. The major source of GBS in early onset GBS disease is maternal birth canal GBS colonization. On the other hand, nosocomial cross-infection is an important source of GBS in late onset disease. Penicillin remains the current treatment of choice for GBS infection. Given the rapid onset and progression within hours of birth and lack of an effective solution for preventing late onset GBS, administration of an effective GBS vaccine in pregnancy could provide a sensible and cost-effective solution in all settings.http://dx.doi.org/10.1155/2017/8418105 |
| spellingShingle | Kam Lun Hon King Hang Chan Pak Long Ko King Woon So Alexander K. C. Leung Late Onset Streptococcus agalactiae Meningitis following Early Onset Septicemia: A Preventable Disease? Case Reports in Pediatrics |
| title | Late Onset Streptococcus agalactiae Meningitis following Early Onset Septicemia: A Preventable Disease? |
| title_full | Late Onset Streptococcus agalactiae Meningitis following Early Onset Septicemia: A Preventable Disease? |
| title_fullStr | Late Onset Streptococcus agalactiae Meningitis following Early Onset Septicemia: A Preventable Disease? |
| title_full_unstemmed | Late Onset Streptococcus agalactiae Meningitis following Early Onset Septicemia: A Preventable Disease? |
| title_short | Late Onset Streptococcus agalactiae Meningitis following Early Onset Septicemia: A Preventable Disease? |
| title_sort | late onset streptococcus agalactiae meningitis following early onset septicemia a preventable disease |
| url | http://dx.doi.org/10.1155/2017/8418105 |
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