Early-onset neonatal sepsis due to group A Streptococci: a case report

Group A Streptococci（GAS）causes maternal sepsis during postpartum period and neonatal sepsis. Such infections remain important causes of mortality. We report a case of neonatal GAS infection associated with maternal postpartum endometritis. The neonate was delivered vaginally at 39 weeks of gestatio...

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Published inJournal of Japan Society of Perinatal and Neonatal Medicine Vol. 57; no. 1; pp. 226 - 229
Main Authors Terada, Yuriko, Nishihara, Masato, Yutaka, Nanae, Maruo, Nobuyuki, Hazama, Ryoichi, Nabetani, Makoto
Format Journal Article
LanguageJapanese
Published Japan Society of Perinatal and Neonatal Medicine 2021
Subjects
group A Streptococci
Infectious Disease
Neonatal sepsis
Vertical Transmission
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Summary:Group A Streptococci（GAS）causes maternal sepsis during postpartum period and neonatal sepsis. Such infections remain important causes of mortality. We report a case of neonatal GAS infection associated with maternal postpartum endometritis. The neonate was delivered vaginally at 39 weeks of gestation with Apgar score of 8 and 9 at 1 and 5 minutes, respectively. On day 7 after birth, He presented to the hospital with fever and toxic appearance. He was started on antibiotics for neonatal sepsis but resulted in superficial thrombophlebitis due to disseminated intravascular coagulation. The mother also presented in the same period with increasing lochia, fever and uterine tenderness which was diagnosed as postpartum endometritis. GAS was detected in the neonatal blood culture and the maternal vaginal culture. This case demonstrates that when the risk of group B Streptococci infection is low, the need of rapid initiation of antibiotics and screening for multiple organ failure and disseminated intravascular coagulation for better clinical outcome.
ISSN:1348-964X
2435-4996
DOI:10.34456/jjspnm.57.1_226