Neonatal pleural empyema with group A Streptococcus

Abstract

A case of early neonatal septicaemia with pneumonia and pleural empyema is reported. The causal microorganism was beta-haemolytic Streptococcus pyogenes group A originating from the mother, who had a perineal infection and bacteraemia.

Neonatal pleural empyema caused by emm type 6 group A streptococcus

“…In particular, neonatal pleural empyema caused by GAS is rare, with only three case reports in the literature since 1976. [5][6][7] Transmission modes have been reported in general as vertical transmission. 3 In the present case, the neonate's mother developed puerperal fever on the day of delivery, and GAS was isolated from the mother's vaginal culture.…”

Pyothorax in Neonatal Boxer

“…5 Suspected etiologies for human neonatal pyothorax include transplacental infection due to maternal bacteremia, infection acquired during passage through an infected birth canal, and bacterial pneumonia. [21][22][23] The primary etiologic agents incriminated in human neonatal pyothorax include Staphylococcus aureus, Escherichia coli, and b-hemolytic Streptococcus. 5 Treatment for human neonates with pyothorax includes either antibiotics alone, or antibiotics combined with thoracic drainage.…”

Pleural empyema due to group A beta-hemolytic streptococci in a newborn: case report

“…There are only a few reports on pleural empyema due to GAS in newborn infants (1,3). Therefore, we want to report a case of early onset neonatal pneumonia caused by GAS and complicated with pleural empyema.…”

“…GAS is not considered to be a normal inhabitant of the female genital tract and perineum and is rarely cultured from asymptomatic women (2). The reported spectrum of infections with GAS in the newborn includes omphalitis, peritonitis, skin infection, necrotizing fasciitis, toxic shock syndrome, pneumonia, osteomyelitis, septic arthritis, septicemia and meningitis (1).…”