Neonatal septicemia caused by pneumococci

Pneumococci (Streptococcus pneumoniae) infrequently cause neonatal septicemia. An increased number of cases have been reported in recent years, but no increase in the relative incidence among neonatal infections has been noted. On the basis of two cases of our own and a review of 40 recently publish...

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Veröffentlicht in:Acta obstetricia et gynecologica Scandinavica 1992, Vol.71 (1), p.6-11
Hauptverfasser: Johnsson, Hans, Bergström, Staffan, Ewald, Uwe, Schwan, Anna
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container_title Acta obstetricia et gynecologica Scandinavica
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creator Johnsson, Hans
Bergström, Staffan
Ewald, Uwe
Schwan, Anna
description Pneumococci (Streptococcus pneumoniae) infrequently cause neonatal septicemia. An increased number of cases have been reported in recent years, but no increase in the relative incidence among neonatal infections has been noted. On the basis of two cases of our own and a review of 40 recently published case reports, the clinical characteristics of pneumococcal septicemia are described and the pathogenesis is discussed. The presenting clinical picture in early-onset pneumococcal septicemia is dominated by respiratory distress, frequently accompanied by leukopenia, and is indistinguishable from that seen in septicemia caused by Group B Streptococci (GBS). The onset is preceded by prelabor rupture of the fetal membranes in almost half of the instances. The mortality is 50%, twice the figure given in recent GBS reports.
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An increased number of cases have been reported in recent years, but no increase in the relative incidence among neonatal infections has been noted. On the basis of two cases of our own and a review of 40 recently published case reports, the clinical characteristics of pneumococcal septicemia are described and the pathogenesis is discussed. The presenting clinical picture in early-onset pneumococcal septicemia is dominated by respiratory distress, frequently accompanied by leukopenia, and is indistinguishable from that seen in septicemia caused by Group B Streptococci (GBS). The onset is preceded by prelabor rupture of the fetal membranes in almost half of the instances. 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An increased number of cases have been reported in recent years, but no increase in the relative incidence among neonatal infections has been noted. On the basis of two cases of our own and a review of 40 recently published case reports, the clinical characteristics of pneumococcal septicemia are described and the pathogenesis is discussed. The presenting clinical picture in early-onset pneumococcal septicemia is dominated by respiratory distress, frequently accompanied by leukopenia, and is indistinguishable from that seen in septicemia caused by Group B Streptococci (GBS). The onset is preceded by prelabor rupture of the fetal membranes in almost half of the instances. The mortality is 50%, twice the figure given in recent GBS reports.</abstract><cop>Oxford, UK</cop><pub>Informa UK Ltd</pub><pmid>1315101</pmid><doi>10.3109/00016349209007939</doi><tpages>6</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Bacterial diseases
Bacterial sepsis
Biological and medical sciences
Disease Outbreaks
Drug Resistance, Microbial
Female
Gestational Age
Human bacterial diseases
Humans
Infant, Newborn
Infectious diseases
Leukocyte Count
Male
Medical sciences
neonatal disease
pneumococcal infection
Pneumococcal Infections - blood
Pneumococcal Infections - epidemiology
Sepsis - epidemiology
Sepsis - microbiology
septicemia
Staphylococcal infections, streptococcal infections, pneumococcal infections
Sweden - epidemiology
title Neonatal septicemia caused by pneumococci
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