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Late-onset group B streptococcal meningitis complicated with extensive cerebral infarction

Authors
Cho, M.S.Kim, Y.Cho, H.-K.Choi, S.-H.
Issue Date
2018
Publisher
The Korean Society of Pediatric Infectious Diseases
Keywords
Cerebral infarction; Meningitis; Neonatal sepsis; Streptococcus agalactiae
Citation
Pediatric Infection and Vaccine, v.25, no.1, pp.45 - 49
Journal Title
Pediatric Infection and Vaccine
Volume
25
Number
1
Start Page
45
End Page
49
URI
https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/4266
DOI
10.14776/piv.2018.25.1.45
ISSN
2384-1079
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. © 2018, The Korean Society of Pediatric Infectious Diseases. All rights reserved.
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