Late-Onset Group B Streptococcal Meningitis Complicated with Extensive Cerebral Infarction
10.14776/piv.2018.25.1.45
- Author:
Min Su CHO
1
;
Yongmin KIM
;
Hye Kyung CHO
;
Soo Han CHOI
Author Information
1. Department of Pediatrics, Hallym University Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, the Republic of Korea. soohanchoi@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Streptococcus agalactiae;
Neonatal sepsis;
Meningitis;
Cerebral infarction
- MeSH:
Bacteremia;
Blindness, Cortical;
Cerebral Infarction;
Female;
Humans;
Meningitis;
Mortality;
Serogroup;
Streptococcus;
Streptococcus agalactiae;
Survivors
- From:Pediatric Infection & Vaccine
2018;25(1):45-49
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Group B streptococcus (GBS) is the leading cause of neonatal morbidity and mortality. Late-onset GBS disease commonly manifests as occult bacteremia or meningitis. Approximately 50% of survivors of late-onset meningitis have long-term neurologic sequelae. Cerebrovascular complications are often associated with unfavorable clinical outcomes of GBS meningitis. There have been a few reports of cerebral infarction accompanied by GBS meningitis. We report a 29-day-old girl with severe, widespread cerebral infarction due to late-onset GBS meningitis. Isolated GBS strain from this patient was serotype III, ST-19. Currently, she has cortical blindness and significant developmental delay.
