Group B Streptococcal Infection in Infancy: A Case Report and Review

PEDIATRICS ◽  
1966 ◽  
Vol 38 (4) ◽  
pp. 659-661
Author(s):  
ERNEY MAHER ◽  
ROBERT C. IRWIN
Keyword(s):  
Case Report ◽  
Pregnant Women ◽  
Successful Treatment ◽  
Low Birthweight ◽  
Streptococcal Infection ◽  
Neonatal Morbidity ◽  
Hemolytic Streptococcus ◽  
Streptococcus Group ◽  
Initial Symptoms ◽  
Group B

A case of meningitis and septicemia due to hemolytic streptococcus group B in a 42-day-old, low birthweight infant has been presented. The increasing evidence of danger to the newborn from this organism has been discussed. The fulminant progression of the meningitic infection from initial symptoms to death leaves little hope for successful treatment. The practice of eradicating asymptomatic streptococcal B organisms from birth canals of pregnant women is proposed as a possible measure for reducing neonatal morbidity and mortality.

Streptococcal Submandibular Cellulitis in Young Infants

PEDIATRICS ◽  
1981 ◽  
Vol 67 (3) ◽  
pp. 378-380 ◽  
Author(s):  
Pisespong Patamasucon ◽  
Jane D. Siegel ◽  
George H. McCracken
Keyword(s):  
Clinical Presentation ◽  
Streptococcal Infection ◽  
Group A Streptococcus ◽  
Hemolytic Streptococcus ◽  
Young Infants ◽  
Group A ◽  
Ludwig’S Angina ◽  
Group B ◽  
Ludwig's Angina

Six infants with streptococcal submandibular cellulitis and bacteremia were managed in our institution during a seven-month period. Five uncomplicated cases were caused by group B β-hemolytic Streptococcus, and one rapidly progressive case of Ludwig's angina was caused by group A Streptococcus. Recognition of this characteristic clinical presentation of group B streptococcal infection may be beneficial in the management of such patients.

scholarly journals Bacteriological examination of radicular cysts contents

2002 ◽  
Vol 55 (1-2) ◽  
pp. 41-43 ◽  
Author(s):  
Slobodanka Hrvacanin
Keyword(s):  
Oral Cavity ◽  
Oral Surgery ◽  
Bacterial Flora ◽  
Health Care Centre ◽  
Hemolytic Streptococcus ◽  
Streptococcus Group ◽  
Periapical Granuloma ◽  
Sterile Needle ◽  
Normal Bacterial Flora ◽  
Group B

Radicular cysts are, most often, oral tissue cysts. The basis for their development are the remains of Hertwig's epithelial sheath, which is stimulated to proliferate by infectious agents, mostly periapical granuloma or pulp necrosis. The cyst contents can be liquid, either clear or milky-white, or thick and yellowish-caseous pus. Bacteriological and histopathological researches have shown that development of radicular cysts from periapical lesions is a consequence of penetration of normal bacterial flora of the oral cavity. Material and methods The study has bacteriologically examined contents of 50 radicular cysts. They were operated between 1993 and 1995 at the Department of Oral Surgery of the Outpatient Health Care Centre Banjaluka. Pathological substrate of the cyst was punctured by a sterile needle and bacteriologically examined at the Microbiological Laboratory of the Clinical Centre in Banjaluka. Discussion and conclusion Radicular cysts contents most often consisted of alpha-hemolytic streptococcus, Streptococcus pneumoniae, Staphyilococcus epidermidis, Streptococcus group B and alpha-hemolytic Streptococcus. It is concluded that normal oral cavity flora is present in the cysts contents the infection penetrated through the root canal to periapex, where, due to the course of time, radicular cyst develops from periapical granuloma.

scholarly journals Streptococcus agalactiae colonization and screening approach in high-risk pregnant women in southern Brazil

2020 ◽  
Vol 14 (04) ◽  
pp. 332-340
Author(s):  
Jeane Zanini da Rocha ◽  
Jéssica Feltraco ◽  
Vanessa Radin ◽  
Carla Vitola Gonçalves ◽  
Pedro Eduardo Almeida da Silva ◽  
...  
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Low Cost ◽  
Group B Streptococcus ◽  
Neonatal Morbidity ◽  
Neonatal Infection ◽  
Diagnostic Methods ◽  
Antenatal Screening ◽  
Group B ◽  
The Impact

Introduction: Considering that Group B Streptococcus (GBS) persists as an important cause of neonatal morbidity and mortality, the objective of this study was to evaluate the frequency of maternal colonization by GBS, comparing the culture by the Granada broth with the GeneXpert real-time PCR diagnostic methods and the impact of chemoprophylaxis in high-risk pregnant women. Methodology: A prospective cohort of 110 pregnant women hospitalized for gestational complications was formed and recruited following interview and collection of rectovaginal swabs. Results: The frequency of maternal colonization was 28.2% and statistically associated with Capurro> 37 weeks (p = 0.030) and neonatal infection (p = 0.008). Chemoprophylaxis was offered to 80% of those colonized. Among the pregnant women treated, a fivefold reduction in the rate of prematurity and rate of neonatal infection was observed. The sensitivity was 76.6% and 86.6% in culture and PCR, respectively, with an optimal index of agreement between the methods (K = 0.877). Grenade culture was considered an easy and low-cost method, while GeneXpert presented higher cost and error rate of 10%. However, 23.3% of the pregnant women were diagnosed exclusively by GeneXpert and the results were obtained in two hours. Conclusions: This study showed a significant prevalence of maternal colonization for GBS and that both culture and molecular methods had peculiarities that allow different applicability, with the culture being feasible for antenatal screening and in the hospital for high-risk pregnant women with no sign of imminent delivery and GeneXpert being prioritized for situations of preterm birth.

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