Maternal postpartum Group B Beta-hemolytic streptococcus ventriculoperitoneal shunt infection

被引：9

作者：

Kane J.M. ^{[1
]}

Jackson K. ^{[2
]}

Conway J.H. ^{[1
]}

机构：

[1] Department of Pediatrics, Sect. of Pediat. Infectious Diseases, Indiana Univ. School of Medicine, Indianapolis, IN 46202-5225

[2] Department of Surgery, Sect. of Pediat. Neurol. Surgery, Indiana Univ. School of Medicine, Indianapolis, IN 46202-5225

来源：

Archives of Gynecology and Obstetrics | 2004年 / 269卷 / 2期

关键词：

Cesarean section; Streptococcus agalactiae; Ventriculoperitoneal shunt;

D O I：

10.1007/s00404-002-0464-7

中图分类号：

学科分类号：

摘要：

Background: Women with cerebrospinal fluid shunts require special management during the course of pregnancy. Case report: 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. Conclusion: 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.

引用

页码：139 / 141

页数：2

共 9 条

[1]

Aharoni A., Potasman I., Levitan Z., Golan D., Sharf M., Postpartum maternal group B streptococcal meningitis, Rev Infect Dis, 12, pp. 273-276, (1990)

[2]

Group B Streptococcal infections, 2000 Red Book: Report of the Committee on Infectious Diseases, 25th Edn., pp. 537-544, (2000)

[3]

Davis L., Hargreaves C., Robinson P.N., Postpartum meningitis, Anaesthesia, 48, pp. 788-789, (1993)

[4]

Fox B., Delayed-onset postpartum meningitis due to group B streptococcus, Clin Infect Dis, 19, pp. 350-351, (1994)

[5]

Landwehr J.B., Isada N.B., Pryde P.G., Johnson M.P., Evans M.I., Canady A.I., Maternal neurosurgical shunts and pregnancy outcome, Obstet Gynecol, 83, pp. 134-137, (1994)

[6]

Liakos A.M., Bradley N.K., Magram G., Muszynski C., Hydrocephalus and the reproductive health of women: The medical implications of maternal shunt dependency in 70 women and 138 pregnancies, Neurol Res, 22, pp. 69-88, (2000)

[7]

Wisoff J.H., Kratzert K.J., Handwerker S.M., Young B.K., Epstein F., Pregnancy in patients with cerebrospinal fluid shunts: Report of a series and review of the literature, Neurosurgery, 29, pp. 827-831, (1991)

[8]

Wolfe R., Norwick M., Bofill J., Fatal maternal Beta-hemolytic group B streptococcal meningitis: A case report, Am J Perinatol, 15, pp. 597-600, (1998)

[9]

Yogev R., Cerebrospinal fluid shunt infections: A personal view, Pediatr Infect Dis, 4, pp. 113-118, (1985)

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