[Pneumococcal pneumonia and septic shock in the newborn infant].
Pneumococcal sepsis and pneumonia in the neonate are rarely reported. They appear either as an early-onset respiratory distress with a high mortality rate or as a delayed infection. The authors describe 3 term neonates with an early respiratory distress syndrome and recall the main points of this severe foeto-maternal infection. Neonatal pneumococcal sepsis is strikingly similar to early-onset group B streptococcal infection. The isolation of the germ in the mother's vaginal flora is hazardous. Such cases suggest that early respiratory support and intensive circulatory resuscitation lead only to a slight decrease in the mortality rate, and thus preventive antibiotherapy is a necessity.
Larchet
M
M
Service de pédiatrie et néonatologie, Hôpital Caremeau, CHRU de Nîmes, France.
Bouziges
N
N
Amram
D
D
Gouby
A
A
Dupaigne
D
D
Contal
M
M
Lesbros
D
D
D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011008:Pneumococcal Infections / Q000209:etiology / Q000401:mortality / Q000635:transmission*; D011018:Pneumonia, Pneumococcal / Q000209:etiology*; D011247:Pregnancy; D011379:Prognosis; D012131:Respiratory Insufficiency / Q000209:etiology; D012772:Shock, Septic / Q000209:etiology*
Pneumopathie et choc septique à pneumocoque chez le nouveau-né.