All issues > Volume 31(7); 1988

Original Article

J Korean Pediatr Soc. 1988;31(7):873-880. Published online July 31, 1988.

7 Cases of Group B Streptococcal Meningitis and Sepsis.

Young Wan Kim¹, Ran Namgung¹, Chul Lee¹, Dong Gwan Han¹

¹Departemnt of Pediatrics, Yonsei University, College of Medicine, Seoul, Korea

Received: November 30, 1987;  Accepted: January 27, 1988.

Abstract

We report 7 cases of Group B streptococcal meningitis and sepsis. Six of the patients were admitted to the Department of Pediatrics, Severance Hospital and Youngdong Severance Hospital in 1986 and one was admitted in 1979. The age of onset ranged from 10 to 34 days of age and all were cases of late onset. The Clinical findings were fever, seizure, poor feeding, jaundice, lethargy, irritability, etc. On admission the CSF values of this group were: Cell, 700〜9300/cu mm, Sugar, 0〜34 mg%, Protein, 40〜800 mg%. Group B beta hemolytic streptococci were grown in the blood and CSF cultures of all 7 cases. During treatment 2 of the patients had a relaps but recovered after changing antibiotics. One of the patients was readmitted 3 days after discharge but 2 days later the fever subsided. Two patients expired the day after admission due to septic shock. Neurologic sequela such as the absence of the blinking reflex developed in 1 cases.

Keywords :Group B beta hemolytic streptococcus, Sepsis, Meningitis