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Fatal Group G Streptococcal Sepsis in a Preterm Neonate

Fatal Group G Streptococcal Sepsis in a Preterm Neonate Abstract The etiology of neonatal infections has undergone certain changes, with an important consideration being the emergence of the group B streptococcus as a major pathogen in the newly born. A number of non—group B streptococci have been shown to cause infections clinically simulating group B streptococcal infection, namely, A, C,1 D,2 and more recently, G.3-6 We report a fatal case of group G streptococcal septicemia in a 2-kg preterm infant. Report of a Case.—Twin males were born to a 27-year-old, gravida 2, para 1, white woman by spontaneous vaginal delivery at 32 weeks' gestation. The pregnancy had been uncomplicated, and artificial rupture of membranes three hours prior to delivery yielded clear amniotic fluid. Each had Apgar scores of 5 and 6 at 1 and 5 minutes of age. Initial examination revealed the lengths and head circumference to be in the 50th percentile for the gestational age References 1. Stewardson-Krieger P, Gotoff SP: Neonatal meningitis due to group C beta hemolytic streptococcus . J Pediatrics 90:103-104, 1977.Crossref 2. Duma RJ, Weinberg AN, Medrek RF, et al: Streptococcal infections: A bacteriologic and clinical study of streptococcal bacteremia . Medicine 48:87-127, 1969.Crossref 3. Baker CJ: Unusual occurrence of neonatal septicemia due to group G streptococcus . Pediatrics 53:568-570, 1974. 4. Brans YW: Group G streptococcal sepsis . Pediatrics 55:745-746, 1975. 5. Nieburg PI: Fatal group G streptococcal sepsis in a neonate . Scand J Infect Dis 11:93-95, 1979. 6. Ancona R, Thompson TR, Ferrieri P: Group G streptococcal pneumonia and sepsis in a newborn infant . J Clin Microbiol 10:758-759, 1979. 7. Kronvall G: A rapid slide agglutination method for typing pneumococci by means of specific antibody absorbed to protein A containing staphylococci . J Med Microbiol 6:187-190, 1973.Crossref 8. Macdonald I: Fatal and severe human infections with hemolytic streptococci group G (Lance-field) . Med J Aust 2:471-474, 1939. 9. Cunniff H, Bump CM: Extrarespiratory non-group A, non-group D isolates of streptococci . Am J Med Tech 42:195-200, 1976. 10. Nordlander IM, Thal E, Tunevall G: Occurrence and significance of hemolytic streptococci groups B-U in human infectious disease . Scand J Infect Dis 7:35-38, 1975. 11. Hill HR, Caldwell GG, Wilson E, et al: Epidemic of pharyngitis due to streptococci of Lancefield group G . Lancet 2:371-374, 1969.Crossref 12. Hill AM, Butler AM: Hemolytic streptococcal infections following childbirth and abortion . Med J Aust 1:293-299, 1940. 13. Christensen KK, Christensen P, Flamholc L, et al: Frequencies of streptococci of groups A, B, C, D and G in urethra and cervix swab specimens from patients with suspected gonococcal infection . Acta Pathol Microbiol Scand 82B:470-474, 1974. 14. Curtis SN, Krause RM: Antigenic relationships between groups B and G streptococci . J Exp Med 120:629-637, 1964.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1980 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1980.02130210074022
Publisher site
See Article on Publisher Site

Abstract

Abstract The etiology of neonatal infections has undergone certain changes, with an important consideration being the emergence of the group B streptococcus as a major pathogen in the newly born. A number of non—group B streptococci have been shown to cause infections clinically simulating group B streptococcal infection, namely, A, C,1 D,2 and more recently, G.3-6 We report a fatal case of group G streptococcal septicemia in a 2-kg preterm infant. Report of a Case.—Twin males were born to a 27-year-old, gravida 2, para 1, white woman by spontaneous vaginal delivery at 32 weeks' gestation. The pregnancy had been uncomplicated, and artificial rupture of membranes three hours prior to delivery yielded clear amniotic fluid. Each had Apgar scores of 5 and 6 at 1 and 5 minutes of age. Initial examination revealed the lengths and head circumference to be in the 50th percentile for the gestational age References 1. Stewardson-Krieger P, Gotoff SP: Neonatal meningitis due to group C beta hemolytic streptococcus . J Pediatrics 90:103-104, 1977.Crossref 2. Duma RJ, Weinberg AN, Medrek RF, et al: Streptococcal infections: A bacteriologic and clinical study of streptococcal bacteremia . Medicine 48:87-127, 1969.Crossref 3. Baker CJ: Unusual occurrence of neonatal septicemia due to group G streptococcus . Pediatrics 53:568-570, 1974. 4. Brans YW: Group G streptococcal sepsis . Pediatrics 55:745-746, 1975. 5. Nieburg PI: Fatal group G streptococcal sepsis in a neonate . Scand J Infect Dis 11:93-95, 1979. 6. Ancona R, Thompson TR, Ferrieri P: Group G streptococcal pneumonia and sepsis in a newborn infant . J Clin Microbiol 10:758-759, 1979. 7. Kronvall G: A rapid slide agglutination method for typing pneumococci by means of specific antibody absorbed to protein A containing staphylococci . J Med Microbiol 6:187-190, 1973.Crossref 8. Macdonald I: Fatal and severe human infections with hemolytic streptococci group G (Lance-field) . Med J Aust 2:471-474, 1939. 9. Cunniff H, Bump CM: Extrarespiratory non-group A, non-group D isolates of streptococci . Am J Med Tech 42:195-200, 1976. 10. Nordlander IM, Thal E, Tunevall G: Occurrence and significance of hemolytic streptococci groups B-U in human infectious disease . Scand J Infect Dis 7:35-38, 1975. 11. Hill HR, Caldwell GG, Wilson E, et al: Epidemic of pharyngitis due to streptococci of Lancefield group G . Lancet 2:371-374, 1969.Crossref 12. Hill AM, Butler AM: Hemolytic streptococcal infections following childbirth and abortion . Med J Aust 1:293-299, 1940. 13. Christensen KK, Christensen P, Flamholc L, et al: Frequencies of streptococci of groups A, B, C, D and G in urethra and cervix swab specimens from patients with suspected gonococcal infection . Acta Pathol Microbiol Scand 82B:470-474, 1974. 14. Curtis SN, Krause RM: Antigenic relationships between groups B and G streptococci . J Exp Med 120:629-637, 1964.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Sep 1, 1980

References