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Keywords = Streprococcus gallolyticus

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18 pages, 597 KiB  
Case Report
Neonatal Sepsis Caused by Streptococcus gallolyticus Complicated with Pulmonary Hypertension: A Case-Report and a Systematic Literature Review
by Zoi Iliodromiti, Marina Tsaousi, Konstantina Kitsou, Helen Bouza, Theodora Boutsikou, Abraham Pouliakis, Efstathia Tsampou, Stavroula Oikonomidi, Maria Dagre, Rozeta Sokou, Nicoletta Iacovidou and Chrysa Petropoulou
Diagnostics 2022, 12(12), 3116; https://doi.org/10.3390/diagnostics12123116 - 10 Dec 2022
Cited by 6 | Viewed by 3484
Abstract
Streptococcus gallolyticus (S. gallolyticus) has been linked to the development of infections in adults; however, in neonates S. gallolyticus sepsis is very rare and resembles Group B Streptococcal infections. In this case report, we present the case of a full-term neonate [...] Read more.
Streptococcus gallolyticus (S. gallolyticus) has been linked to the development of infections in adults; however, in neonates S. gallolyticus sepsis is very rare and resembles Group B Streptococcal infections. In this case report, we present the case of a full-term neonate who developed early-onset sepsis due to S. gallolyticus. A systematic review of the literature was also conducted. The neonate had good APGAR scores at 1′ and 5′. At 5 h postnatally, the neonate developed poor feeding and respiratory distress. She received oxygen in a head box, and a complete blood count and biochemistry, blood, CSF and body surface cultures were obtained. Empiric intravenous antibiotics (ampicillin and tobramycin) were initiated, and she was transferred to a tertiary NICU for further treatment. The neonate was mechanically ventilated and received dopamine and colloid fluids for circulatory support. A cardiology consultation revealed pulmonary hypertension on day one. S. gallolyticus was isolated in the blood culture. Central nervous system ultrasonography, brainstem auditory evoked potentials, and a second cardiology evaluation were normal on day three. Clinical and laboratory improvement was noted on day three, and the baby was discharged after a 12-day hospitalization. Follow-up visits were scheduled for reevaluation. Full article
(This article belongs to the Section Diagnostic Microbiology and Infectious Disease)
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