Fulminant neonatal sepsis due to Streptococcus alactolyticus - A case report and review.
Group D streptococci have rarely been associated with neonatal infections. We report a case of fulminant respiratory distress syndrome (RDS) caused by Streptococcus alactolyticus in a term neonate. Gram staining revealed gram-positive cocci and culture grew group D streptococci in samples taken from trachea, ear, and nasopharynx. Streptococcus alactolyticus was identified using automated microbial identification system (Vitek 2). Histopathology showed massive pulmonary inflammation with intra-alveolar granulocytosis and secondary pulmonary bleeding as etiology of fatal outcome. To our knowledge, this is first case presenting neonatal infection caused by Streptococcus alactolyticus.
Clinic and Polyclinic of Pediatrics and Adolescent Medicine, Carl Gustav Carus University Hospital, Dresden, Germany.
Nicole
N
Toepfner
Sindhu
S
Shetty
Mirjam
M
Kunze
Marzenna
M
Orlowska-Volk
Markus
M
Krüger
Reinhard
R
Berner
Roland
R
Hentschel
D006801:Humans; D007231:Infant, Newborn; D012127:Respiratory Distress Syndrome, Newborn / Q000382:microbiology / Q000401:mortality / Q000473:pathology*; D018805:Sepsis / Q000382:microbiology / Q000401:mortality / Q000473:pathology*; D013290:Streptococcal Infections / Q000382:microbiology / Q000401:mortality / Q000473:pathology*; D013291:Streptococcus / Q000472:pathogenicity
Streptococcus alactolyticus; Streptococcus bovis; neonatal sepsis; respiratory distress syndrome