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KMID : 1040320180250010045
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Pediatric Infection & Vaccine
2018 Volume.25 No. 1 p.45 ~ p.49
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Late-Onset Group B Streptococcal Meningitis Complicated with Extensive Cerebral Infarction
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Cho Min-Su
Kim Yong-Min
Cho Hye-Kyung
Choi Soo-Han
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Abstract
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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.
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KEYWORD
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Streptococcus agalactiae, Neonatal sepsis, Meningitis, Cerebral infarction
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