title: Puerperal fever and neonatal pleural empyema and bacteremia caused by group A streptococcus.
abstract: A term neonate developed early onset of sepsis and pleural empyema with group A streptococcus. Her mother also became septic with group A streptococcus in the early postpartum period. The infant required initial chest tube drainage. After reaccumulation of pleural fluid after removal of the chest tube, a thoracotomy with decortication was performed. The isolates of group A streptococcus were analyzed and found to be identical serotypes of the same bacterium. The serotyping revealed both to be M type 1, T pattern 1. Polymerase chain reaction detected the genomic sequence for streptococcal pyrogenic exotoxin A and B in both isolates. With the increase in invasive streptococcal infections in the community, serious perinatal infections may become more frequent.
authors.affiliation: Division of Infectious Diseases, Department of Pediatrics, University of Alberta, Edmonton, Alberta.
authors.forename: L
authors.initials: L
authors.lastname: Lequier
authors.forename: W L
authors.initials: WL
authors.lastname: Vaudry