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Fulminant neonatal sepsis due to Streptococcus alactolyticus ‐A case report and review
Author(s) -
Toepfner Nicole,
Shetty Sindhu,
Kunze Mirjam,
OrlowskaVolk Marzenna,
Krüger Markus,
Berner Reinhard,
Hentschel Roland
Publication year - 2014
Publication title -
apmis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 88
eISSN - 1600-0463
pISSN - 0903-4641
DOI - 10.1111/apm.12219
Subject(s) - fulminant , streptococcus , respiratory distress , gram staining , medicine , neonatal sepsis , etiology , sepsis , group b , histopathology , microbiology and biotechnology , pathology , immunology , biology , surgery , antibiotics , bacteria , genetics
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.