Maternal pneumococcal endometritis may cause early-onset neonatal sepsis

Julio Pace; Laura Bonofiglio; Laura Lopez Moral; Marcela Badia; Debora Lachener; Mabel Regueira; Marta Mollerach

doi:10.1055/s-0035-1557048

Journal of Pediatric Infectious Diseases, Table of Contents

J Pediatr Infect Dis 2007; 02(04): 241-245
DOI: 10.1055/s-0035-1557048

Case Report

Georg Thieme Verlag KG Stuttgart – New York

Maternal pneumococcal endometritis may cause early-onset neonatal sepsis

Julio Pace

^aServicio de Bacteriología Clínica, Departamento de Bacteriología, Instituto Nacional de Enfermedades Infecciosas-ANLIS, "Dr. Carlos G. Malbrán", Buenos Aires, Argentina

,

Laura Bonofiglio

^bCátedra de Microbiología, Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires, Buenos Aires, Argentina

,

Laura Lopez Moral

^cHospital Municipal "Dr. C. Argerich", Buenos Aires, Argentina

,

Marcela Badia

^bCátedra de Microbiología, Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires, Buenos Aires, Argentina

,

Debora Lachener

^cHospital Municipal "Dr. C. Argerich", Buenos Aires, Argentina

,

Mabel Regueira

^aServicio de Bacteriología Clínica, Departamento de Bacteriología, Instituto Nacional de Enfermedades Infecciosas-ANLIS, "Dr. Carlos G. Malbrán", Buenos Aires, Argentina

,

Marta Mollerach

^bCátedra de Microbiología, Facultad de Farmacia y Bioquímica, Universidad de Buenos Aires, Buenos Aires, Argentina

› Author Affiliations
Subject Editor:

Abstract

PDF Download

Abstract

Streptococcus pneumoniae is a rarely recognized cause of neonatal sepsis. A case of early-onset neonatal sepsis due to penicillin susceptible pneumococci and maternal endometritis is herein described. A male infant was born at 33 weeks of gestation. The baby developed S. pneumoniae bacteraemia and recovered completely following treatment with antibiotics. Four days after partum, the mother was readmitted with fever. S. pneumoniae was recovered from an endometrial sample. Isolates from mother and child were both serogroup 1 and confirmed to be identical on the basis of BOX-polymerase chain reaction typing and pulse-field gel electrophoresis. Perinatal transmission of S. pneumoniae had probably occurred due to ascending infection from the maternal genital tract.

Keywords

Streptococcus pneumoniae - neonatal sepsis - box-typing - pulsed-field gel electrophoresis - endometritis

PDF (66 kb)