Three distinct episodes of GBS septicemia in a healthy newborn during the first month of life |
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Authors: | Hanna Soukka Kaisu Rantakokko-Jalava Susanna Vähäkuopus Olli Ruuskanen |
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Institution: | (1) Department of Pediatrics, Turku University Hospital, Kiinamyllynkatu 4-8, 20520 Turku, Finland;(2) Department of Clinical Microbiology, Turku University Hospital, Turku, Finland;(3) National Institute of Health and Welfare, Helsinki, Finland |
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Abstract: | In neonates, recurrent group B streptococcal infection is uncommon, and two relapses are extremely rare. We report a case
of three distinct episodes of Streptococcus agalactiae bacteremia in a healthy full-term infant over a 4-week period. The newborn had no apparent predisposing condition or infectious
focus, and the recurrences occurred after adequate antimicrobial treatment, the second occurring after withdrawal of colonized
breast milk. Finally, oral rifampin was combined to his antibiotic regimen, his colonization cultures turned negative, and
no further relapses have occurred during the 11-month follow-up. Conclusion In this report, we describe a newborn with two exceptionally rapid recurrences of group B streptococcal septicemias, and
who was successfully treated with combining rifampin to the antibiotic regimen. |
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