title: Maternal postpartum group B beta-hemolytic streptococcus ventriculoperitoneal shunt infection.
abstract: BACKGROUND
  Women with cerebrospinal fluid shunts require special management during the course of pregnancy.
  
  
  METHODS
  We describe a case of delayed postpartum ventriculoperitoneal shunt infection by Group B streptococcus in a 19-year-old who presented complaining of headache and a fever. The CSF culture from the shunt tap and the distal shunt tip both grew Group B beta-hemolytic streptococcus.
  
  
  CONCLUSIONS
  Women who are colonized with Group B streptococcus and who have cerebrospinal fluid shunts should receive perinatal antibiotic prophylaxis, and may require more extended prophylactic antibiotics with cesarean section deliveries to prevent catheter tip colonization and subsequent shunt infection.
authors.affiliation: Department of Pediatrics, Indiana University School of Medicine, 702 Barnhill Drive 1740X, Indianapolis, Indiana 46202-5225, USA.
authors.forename: Jason M
authors.initials: JM
authors.lastname: Kane
authors.forename: Kevin
authors.initials: K
authors.lastname: Jackson
authors.forename: James H
authors.initials: JH
authors.lastname: Conway
mesh_terms: D000328:Adult; D019072:Antibiotic Prophylaxis; D002585:Cesarean Section; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D011181:Postnatal Care; D011247:Pregnancy; D011295:Prenatal Care; D011645:Puerperal Infection / Q000134:cerebrospinal fluid / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D013290:Streptococcal Infections / Q000134:cerebrospinal fluid / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D013292:Streptococcus agalactiae / Q000302:isolation & purification*; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*