TY - JOUR
T1 - The first case of recurrent ultra late onset group B streptococcal sepsis in a 3-year-old child
AU - Hosoda, Ai
AU - Gatayama, Ryohei
AU - Moriyama, Shiori
AU - Ishii, Noriyuki
AU - Yamada, Kenichiro
AU - Matsuzaki, Youhei
AU - Shinjoh, Masayoshi
N1 - Publisher Copyright:
© 2016 The Authors
PY - 2017
Y1 - 2017
N2 - Group B streptococcus (GBS) is a commonly recognized cause of sepsis and meningitis in neonatal and young infants. Invasive GBS infection is classified into early onset GBS disease (EOD, day 0–6), late onset GBS disease (LOD, day 7–89) and ultra late onset GBS disease (ULOD, after 3 months of age). ULOD is uncommon and recurrence is especially rare. We present the first recurrent case of ULOD GBS sepsis in 3-year-old girl with a past medical history of hydrops fetalis and thoracic congenital lymphatic dysplasia. The first episode presented as sepsis at 2 years 8 months of age. The second episode occurred as sepsis with encephalopathy at 3 years 1 months of age. During each episode, the patient was treated using intravenous antimicrobials and her condition improved. Serotype examination was not performed in the first episode, but GBS type V was serotyped in the second episode. ULOD over 1 year of age is quite rare and may recur.
AB - Group B streptococcus (GBS) is a commonly recognized cause of sepsis and meningitis in neonatal and young infants. Invasive GBS infection is classified into early onset GBS disease (EOD, day 0–6), late onset GBS disease (LOD, day 7–89) and ultra late onset GBS disease (ULOD, after 3 months of age). ULOD is uncommon and recurrence is especially rare. We present the first recurrent case of ULOD GBS sepsis in 3-year-old girl with a past medical history of hydrops fetalis and thoracic congenital lymphatic dysplasia. The first episode presented as sepsis at 2 years 8 months of age. The second episode occurred as sepsis with encephalopathy at 3 years 1 months of age. During each episode, the patient was treated using intravenous antimicrobials and her condition improved. Serotype examination was not performed in the first episode, but GBS type V was serotyped in the second episode. ULOD over 1 year of age is quite rare and may recur.
KW - Clinically mild encephalopathy with a reversible splenial lesion
KW - Group B streptococcus
KW - MERS
KW - Recurrence
KW - Sepsis
KW - Ultra late onset disease
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U2 - 10.1016/j.idcr.2016.11.007
DO - 10.1016/j.idcr.2016.11.007
M3 - Article
AN - SCOPUS:84999098755
SN - 2214-2509
VL - 7
SP - 16
EP - 18
JO - IDCases
JF - IDCases
ER -