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The first case of recurrent ultra late onset group B streptococcal sepsis in a 3-year-old child.

Identifieur interne : 000E63 ( PubMed/Corpus ); précédent : 000E62; suivant : 000E64

The first case of recurrent ultra late onset group B streptococcal sepsis in a 3-year-old child.

Auteurs : Ai Hosoda ; Ryohei Gatayama ; Shiori Moriyama ; Noriyuki Ishii ; Kenichiro Yamada ; Youhei Matsuzaki ; Masayoshi Shinjoh

Source :

RBID : pubmed:27920985

Abstract

Group B streptococcus (GBS) is a commonly recognized cause of sepsis and meningitis in neonatal and young infants. Invasive GBS infection is classified into early onset GBS disease (EOD, day 0-6), late onset GBS disease (LOD, day 7-89) and ultra late onset GBS disease (ULOD, after 3 months of age). ULOD is uncommon and recurrence is especially rare. We present the first recurrent case of ULOD GBS sepsis in 3-year-old girl with a past medical history of hydrops fetalis and thoracic congenital lymphatic dysplasia. The first episode presented as sepsis at 2 years 8 months of age. The second episode occurred as sepsis with encephalopathy at 3 years 1 months of age. During each episode, the patient was treated using intravenous antimicrobials and her condition improved. Serotype examination was not performed in the first episode, but GBS type V was serotyped in the second episode. ULOD over 1 year of age is quite rare and may recur.

DOI: 10.1016/j.idcr.2016.11.007
PubMed: 27920985

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pubmed:27920985

Le document en format XML

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<div type="abstract" xml:lang="en">Group B streptococcus (GBS) is a commonly recognized cause of sepsis and meningitis in neonatal and young infants. Invasive GBS infection is classified into early onset GBS disease (EOD, day 0-6), late onset GBS disease (LOD, day 7-89) and ultra late onset GBS disease (ULOD, after 3 months of age). ULOD is uncommon and recurrence is especially rare. We present the first recurrent case of ULOD GBS sepsis in 3-year-old girl with a past medical history of hydrops fetalis and thoracic congenital lymphatic dysplasia. The first episode presented as sepsis at 2 years 8 months of age. The second episode occurred as sepsis with encephalopathy at 3 years 1 months of age. During each episode, the patient was treated using intravenous antimicrobials and her condition improved. Serotype examination was not performed in the first episode, but GBS type V was serotyped in the second episode. ULOD over 1 year of age is quite rare and may recur.</div>
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