title: Ultra late onset group B streptococcal sepsis with acute renal failure in a child with urethral obstruction: a case report.
abstract: BACKGROUND
  Group B streptococci are a well-known cause of early and late onset sepsis. In neonates and older children gram-negative bacteria are mostly found in urinary tract infections and urosepsis. In adults predisposing factors for group B streptococci urinary tract infection may include diabetes mellitus and chronic renal failure.
  
  
  METHODS
  We present a rare case of a five-month-old Caucasian boy with ultra late onset urosepsis and acute renal failure caused by group B streptococci serotype V. Excretion urography showed a subvesical obstruction that consequently was surgically corrected after antibiotic treatment of the acute infection.
  
  
  CONCLUSIONS
  Group B streptococci serotype V, urogenitary tract malformations, previous hospitalization and medical interventions may be important risk factors for the development of ultra late onset Group B streptococci sepsis in non-neonates.
authors.affiliation: University Children's Hospital Mannheim, Heidelberg University, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim Germany. Tobias.Tenenbaum@umm.de.
authors.forename: Daniela
authors.initials: D
authors.lastname: Freudenstein
authors.forename: Konrad
authors.initials: K
authors.lastname: Reinshagen
authors.forename: Angela
authors.initials: A
authors.lastname: Petzold
authors.forename: Angelika
authors.initials: A
authors.lastname: Debus
authors.forename: Horst
authors.initials: H
authors.lastname: Schroten
authors.forename: Tobias
authors.initials: T
authors.lastname: Tenenbaum