Recurrence of group B streptococcal meningitis

Butler, Vincent P.; Pejoan, H.; Blot, N.

doi:10.1016/j.arcped.2019.08.003

Cited by 4 publications

(3 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some clinical studies indicate that S. agalactiae is one of the pathogens involved in refractory bacterial meningitis, primarily because children infected with S. agalactiae are prone to complications [12,19,31,32] that lead to prolonged treatment time. This may be because the S. agalactiae that cause bacterial meningitis are mostly serotype III [33,34], which have strong adhesion to vascular endothelial tissue, chorion, and lungs and thus are di cult to remove and treat. Drug resistance of the pathogenic bacteria also contributes to the di culty in treatment.…”

Section: Discussionmentioning

confidence: 99%

High-risk factors associated with refractory childhood bacterial meningitis

Song

et al. 2022

Preprint

View full text Add to dashboard Cite

Background Refractory bacterial meningitis is acute, it develops rapidly, and mortality and morbidity are higher than in cases of common bacterial meningitis. This study was undertaken to investigate the high-risk factors related to refractory bacterial meningitis cases in children with positive pathogens. Methods We retrospectively analyzed clinical data for 109 cases of childhood bacterial meningitis. Cases were divided into a refractory group (96 cases) and non-refractory group (13 cases) based on classification criteria. 17 clinical variables on risk factors were extracted and evaluated by univariate and multivariate logistic regression analyses. Results There were 64 males and 45 females. The onset age range was from 1 month old to 14 years old, and the median age was 181 days old. the pathogenic bacteria include 67 cases of Gram-positive(G+) bacteria (61.5%) and 42 cases of Gram-negative (G-)bacteria. In patients 1 to 3 months old, E. coli was the most common (47.5%), followed by Streptococcus agalactiae and Staphylococcus haemolyticus (10.0%); in patients > 3 months old, S. pneumoniae was the most common (55.1%), followed by E. coli (8.7%). Multivariate analysis indicated that consciousness disorder (odds ratio [OR] = 13.050), peripheral blood C-reactive protein(CRP) ≥ 50 mg/L (OR = 29.436), andthe isolate bacteria being Gram-positive bacteria (OR = 8.227) were independent risk factors for predicting who would progress to refractory bacterial meningitis in this group. Conclusion For pathogenic positive bacterial meningitis along with consciousness disorder, CRP ≥ 50 mg/L, and/or the isolate bacteria being G + bacteria, it is important to be alert to the potential for progression to refractory bacterial meningitis, which demands the physicians’ significant attention.

show abstract

Section: Discussionmentioning

confidence: 99%

High-risk factors associated with refractory childhood bacterial meningitis

Song

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…Urinalysis and urine culture showed no evidence of infection (Tabs. [1][2][3][4]. The concentration of the N-terminal pro-B-type natriuretic peptide (NT-proBNP) was 5,161 pg/mL (the standard for the age 1-12 months being 5-1,121 pg/mL), concentration of troponin T -9.7 ng/L.…”

Section: Case Reportmentioning

confidence: 99%

“…More than 50% of cases are intrauterine infections, which are transmitted through the transplacental, ascending route, even via intact foetal membranes. There have also been reports of infections during breastfeeding (4) . Due to the different course and time of onset of the first symptoms of infection in newborns and infants, the following types of infection are distinguished: early-onset disease -EOD, late-onset disease -LOD, and very lateonset disease -VLOD.…”

Section: Introductionmentioning

confidence: 99%

Sepsis and Streptococcus agalactiae meningitis in a 3-month-old boy

Będzichowska¹,

Piotrowska-Lis²,

Rychcik³

et al. 2022

Pediatr Med Rodz

View full text Add to dashboard Cite

Streptococcus agalactiae bacteria are a common cause of neonatal sepsis and meningitis. Universal screening of pregnant women for carriage and intrapartum antibiotic prophylaxis has significantly reduced the disease prevalence in children up to 7 days of age. However, it is to be remembered that group B streptococcal infection can also affect older children, even if their mothers have tested negative for Streptococcus agalactiae during pregnancy or underwent complete perinatal antibiotic prophylaxis. This paper presents a clinical case of a 3-month-old boy treated for sepsis and Streptococcus agalactiae meningitis. The baby was born on time, with normal body weight. The infection occurred despite full maternal ampicillin perinatal therapy in the mother.

show abstract

Infecciones por estreptococo del grupo B

Launay

Guen

2022

EMC - Pediatría

View full text Add to dashboard Cite

Recurrence of group B streptococcal meningitis

Cited by 4 publications

References 9 publications

High-risk factors associated with refractory childhood bacterial meningitis

High-risk factors associated with refractory childhood bacterial meningitis

Sepsis and Streptococcus agalactiae meningitis in a 3-month-old boy

Infecciones por estreptococo del grupo B

Contact Info

Product

Resources

About