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 |
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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. |
doi_str_mv | 10.3109/00016349209007939 |
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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.</description><identifier>ISSN: 0001-6349</identifier><identifier>EISSN: 1600-0412</identifier><identifier>DOI: 10.3109/00016349209007939</identifier><identifier>PMID: 1315101</identifier><identifier>CODEN: AOGSAE</identifier><language>eng</language><publisher>Oxford, UK: Informa UK Ltd</publisher><subject>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</subject><ispartof>Acta obstetricia et gynecologica Scandinavica, 1992, Vol.71 (1), p.6-11</ispartof><rights>1992 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 1992</rights><rights>1992 Acta Obstet Gynecol Scand</rights><rights>1992 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4629-9669496a7b301be1f7d51ba16ee7c56f2dc18721a6b844472164b7c74561469b3</citedby><cites>FETCH-LOGICAL-c4629-9669496a7b301be1f7d51ba16ee7c56f2dc18721a6b844472164b7c74561469b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.3109%2F00016349209007939$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.3109%2F00016349209007939$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,4010,27900,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5260779$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1315101$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Johnsson, Hans</creatorcontrib><creatorcontrib>Bergström, Staffan</creatorcontrib><creatorcontrib>Ewald, Uwe</creatorcontrib><creatorcontrib>Schwan, Anna</creatorcontrib><title>Neonatal septicemia caused by pneumococci</title><title>Acta obstetricia et gynecologica Scandinavica</title><addtitle>Acta Obstet Gynecol Scand</addtitle><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.</description><subject>Bacterial diseases</subject><subject>Bacterial sepsis</subject><subject>Biological and medical sciences</subject><subject>Disease Outbreaks</subject><subject>Drug Resistance, Microbial</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infectious diseases</subject><subject>Leukocyte Count</subject><subject>Male</subject><subject>Medical sciences</subject><subject>neonatal disease</subject><subject>pneumococcal infection</subject><subject>Pneumococcal Infections - blood</subject><subject>Pneumococcal Infections - epidemiology</subject><subject>Sepsis - epidemiology</subject><subject>Sepsis - microbiology</subject><subject>septicemia</subject><subject>Staphylococcal infections, streptococcal infections, pneumococcal infections</subject><subject>Sweden - epidemiology</subject><issn>0001-6349</issn><issn>1600-0412</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc1L7DAUxYMoOn78AS6EWYjgopqbpskEVzL65il-bBTdhdvMLVb7MSYtz_nvX0sHXQi6yg3nd07IuYztAz-JgZtTzjmoWBrBDefaxGaNjUBxHnEJYp2Nej3qgS22HcJrdxNaTjbZJsSQAIcRO76jusIGi3GgRZM7KnMcO2wDzcfpcryoqC1rVzuX77KNDItAe6tzhz3-uXyY_o1u7mdX0_ObyEklTGSUMtIo1GnMISXI9DyBFEERaZeoTMwdTLQAVOlEStlNSqbaaZkokMqk8Q47GnIXvn5vKTS2zIOjosCK6jZYLQxArGUHwgA6X4fgKbMLn5folxa47eux3-rpPAer8DYtaf7lGPro9MOVjsFhkXmsXB4-sUQornUfowbsX17Q8vd37fn9TIukN0aDMQ8NfXwa0b9ZpWOd2Ke7mX2e3d6Ki-mFve74sxVfZbUv8YWwaF4cerKvdeurbhE__PY_5MiaYA</recordid><startdate>1992</startdate><enddate>1992</enddate><creator>Johnsson, Hans</creator><creator>Bergström, Staffan</creator><creator>Ewald, Uwe</creator><creator>Schwan, Anna</creator><general>Informa UK Ltd</general><general>Blackwell Publishing Ltd</general><general>Taylor & Francis</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1992</creationdate><title>Neonatal septicemia caused by pneumococci</title><author>Johnsson, Hans ; Bergström, Staffan ; Ewald, Uwe ; Schwan, Anna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4629-9669496a7b301be1f7d51ba16ee7c56f2dc18721a6b844472164b7c74561469b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Bacterial diseases</topic><topic>Bacterial sepsis</topic><topic>Biological and medical sciences</topic><topic>Disease Outbreaks</topic><topic>Drug Resistance, Microbial</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infectious diseases</topic><topic>Leukocyte Count</topic><topic>Male</topic><topic>Medical sciences</topic><topic>neonatal disease</topic><topic>pneumococcal infection</topic><topic>Pneumococcal Infections - blood</topic><topic>Pneumococcal Infections - epidemiology</topic><topic>Sepsis - epidemiology</topic><topic>Sepsis - microbiology</topic><topic>septicemia</topic><topic>Staphylococcal infections, streptococcal infections, pneumococcal infections</topic><topic>Sweden - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Johnsson, Hans</creatorcontrib><creatorcontrib>Bergström, Staffan</creatorcontrib><creatorcontrib>Ewald, Uwe</creatorcontrib><creatorcontrib>Schwan, Anna</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta obstetricia et gynecologica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Johnsson, Hans</au><au>Bergström, Staffan</au><au>Ewald, Uwe</au><au>Schwan, Anna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neonatal septicemia caused by pneumococci</atitle><jtitle>Acta obstetricia et gynecologica Scandinavica</jtitle><addtitle>Acta Obstet Gynecol Scand</addtitle><date>1992</date><risdate>1992</risdate><volume>71</volume><issue>1</issue><spage>6</spage><epage>11</epage><pages>6-11</pages><issn>0001-6349</issn><eissn>1600-0412</eissn><coden>AOGSAE</coden><abstract>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.</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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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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