Case Reports
Cervical lymphadenitis as a manifestation of group B Streptococcus infection
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Abstract
Group B Streptococcus (GBS) remains an important cause of neonatal sepsis and meningitis in the newborn infant. Although these are the most common clinical manifestations, GBS can cause a wide variety of focal infections. Isolated lymphadenitis is a rare form of presentation and may be the only sign of bacteraemia.
Recurrence of infection is rare but could be related to the persistence of mucosal carriage of GBS despite appropriate antimicrobial treatment for the invasive infection.
We describe a case of a two-month-old male with recurrent GBS infection and lymphadenitis.
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References
Almeida S, Santo R, Chaves M. Late-Onset Group B Streptococcal Infection: A Mirror Manifestation in Heterozygous Twins. Acta Pediatr Port. 2018; 49:75-9.
Le Doare K, Kampmann B. Breast milk and Group B streptococcal infection: vector of transmission or vehicle for protection? Vaccine. 2014;32:3128-32. doi: 10.1016/j.vaccine.2014.04.020.
Elling R, Hufnagel M, de Zoysa A, Lander F, Zumstein K, Krueger M, et al. Synchronous recurrence of group B streptococcal late-onset sepsis in twins. Pediatrics. 2014;133:e1388-91. doi: 10.1542/peds.2013-0426.
Sarrión-Sos N, Morell-García M, Martínez-Sebastián L, Centeno-Rubiano JM, Montesinos-Sanchis E, Orta-Sibú N. Síndrome celulitis-adenitis, una forma infrecuente de presentación de la sepsis neonatal tardía: A propósito de dos casos. Arch Argent Pediatr. 2018;116:e769-72. doi: 10.5546/aap.2018.e769.
Fluegge K, Greiner P, Berner R. Late onset group B streptococcal disease manifested by isolated cervical lymphadenitis. Arch Dis Child. 2003;88:1019-20. doi: 10.1136/adc.88.11.1019.
Kotiw M, Zhang GW, Daggard G, Reiss-Levy E, Tapsall JW, Numa A. Late-onset and recurrent neonatal Group B streptococcal disease associated with breast-milk transmission. Pediatr Dev Pathol. 2003;6:251-6. doi: 10.1007/s10024-001-0276-y.
Silva G, Marcos C, Lira S. Infecção recorrente neonatal por Estreptococo do grupo B. Acta Pediatr Port. 2010; 41:98-100.
Wojtera M, Cheng H, Fiorini K, Coughlin K, Barton M, Strychowsky JE. Group B Streptococcal Cellulitis and Necrotizing Fasciitis in Infants: A Systematic Review. Pediatr Infect Dis J. 2018;37:e241-5. doi: 10.1097/INF.0000000000001931.
Muraoka J, Kodama Y, Higashi M, Yamada N, Yamashita R, Nakame K, et al. A case of facial cellulitis caused by group B streptococcus in an extremely low birthweight infant. J Infect Chemother. 2021;27:1369-72. doi: 10.1016/j.jiac.2021.04.021.