Group B Beta-Hemolytic Streptococcal Meningitis in Mother and Infant

Grossman, James R.; Tompkins, Richard L.

doi:10.1056/nejm197402142900709

Cited by 31 publications

(8 citation statements)

References 6 publications

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“…Among reports of concurrent bacteremia in the mother and neonate are cases caused by H. influenzae type b [331], H. parainfluenzae [208], S. pneumoniae [58,332], group A streptococcus [42], N. meningitidis [182], Citrobacter species [333], and Morganella morgagnii [334]; concurrent cases of meningitis have been reported as caused by S. pneumoniae [335], N. meningitidis [182], and GBS [336]. Transplacental hematogenous infection during or shortly before delivery (including the period of separation of the placenta) is possible, although it is more likely that the infant is infected just before or during passage through the birth canal.…”

Section: Pathogenesismentioning

confidence: 99%

Bacterial Sepsis and Meningitis

Nizet¹,

Klein²

2011

Infectious Diseases of the Fetus and Newborn

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Section: Pathogenesismentioning

confidence: 99%

Bacterial Sepsis and Meningitis

Nizet¹,

Klein²

2011

Infectious Diseases of the Fetus and Newborn

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“…These may transmit Streptococcus faecalis 5 and Streptococcus salivarius 15,16 . Concurrent bacteraemia with Group B beta-hemolytic streptococcus 17 has been implicated. The incidence of bacteraemia after uncomplicated normal delivery varies between 3.6% and 7.2% 18 .…”

Section: Discussionmentioning

confidence: 99%

Mortality from Peripartum Meningitis

2000

Anaesth Intensive Care

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A young primigravid parturient had an uneventful labour under epidural analgesia and delivered a healthy male infant. She returned 48 hours later with fever, vomiting and severe headache, but was misdiagnosed as having endometritis. Further signs of meningitis appeared six hours later, however she succumbed to the infection and died four weeks later despite intensive care and high-dose antibiotic management. Causes of meningitis in the peripartum period are discussed. The possibility of a causal association between the patient's epidural analgesia and her infection are considered and preventive measures discussed.

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“…Aqueous penicillin (PCN) was used alone in 11 cases (1,5,6,(10)(11)(12)(13)(16)(17)(18) and in combination with other antibiotics in 5 other cases (4,7,15, this report). The remaining 4 patients were treated with sulfa (2 cases), ampicillin (1 case) or ceftriaxone (1 case) (3,6,12,19).…”

Section: Treatment and Outcomementioning

confidence: 97%

Group B Streptococcal Meningitis in Adults: Case Report and Review of the Literature

Sarmiento

Wilson

Khatib

1993

Scandinavian Journal of Infectious Diseases

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A case of group B streptococcal meningitis in an adult is presented with a review of 42 other cases reported in the English literature since 1940. Their median age was 58 years (72.5% were older than 45 years). Male/female ratio was 0.9:1, with male predominance in patients older than 60 years (76.5%). Predisposing illnesses were common but 13.9% of cases reported had no identifiable risk factor. Encephalopathy and bacteremia were frequent (81.3% and 94.4% respectively) and many patients (30%) had other foci of infection. Gram stain of cerebrospinal fluid was positive in 75% of cases. Mortality was 18.4% and 9.7% of survivors had bilateral hearing loss. Thus, this review illustrates that group B streptococcal meningitis in adults is a rare disease which occurs among high risk individuals. It is characterized by frequent encephalopathy, prevalence of other foci of infection and bacteremia with an outcome similar to other types of purulent meningitides.

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Group B Beta-Hemolytic Streptococcal Meningitis in Mother and Infant

Cited by 31 publications

References 6 publications

Bacterial Sepsis and Meningitis

Bacterial Sepsis and Meningitis

Mortality from Peripartum Meningitis

Group B Streptococcal Meningitis in Adults: Case Report and Review of the Literature

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