title: An unusual presentation of group B streptococcal sepsis.
abstract: This paper describes the devastating outcome of a neonate who presented with severe late onset group B beta-haemolytic streptococcal (GBS) disease. There were extensive infarcts of the brain and gangrene of the toes. The purpose of this report is to alert healthcare workers of the unusual presentation and that fatal late onset group B beta-haemolytic streptococcal disease may occur despite early and effective management.
authors.affiliation: Department of Obstetrics, Gynaecology and Child Health, The University of the West Indies, Kingston 7, Jamaica, West Indies. piperhcp@cwjamaica.com
authors.forename: M
authors.initials: M
authors.lastname: Thame
authors.forename: L
authors.initials: L
authors.lastname: Franklin
authors.forename: J
authors.initials: J
authors.lastname: Young
authors.forename: C
authors.initials: C
authors.lastname: Hall
authors.forename: G L
authors.initials: GL
authors.lastname: Saunders
authors.forename: N P
authors.initials: NP
authors.lastname: Williams
mesh_terms: D002481:Cellulitis / Q000382:microbiology / Q000473:pathology; D017809:Fatal Outcome; D005734:Gangrene / Q000175:diagnosis / Q000382:microbiology / Q000473:pathology; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D016920:Meningitis, Bacterial / Q000175:diagnosis; D018805:Sepsis / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000503:physiopathology; D013292:Streptococcus agalactiae / Q000302:isolation & purification* / Q000472:pathogenicity; D014034:Toes / Q000473:pathology