Open AccessSíndrome celulitis-adenitis, una forma infrecuente de presentación de la sepsis neonatal tardía. A propósito de dos casos
Author(s) -
Nerea Sarrión-Sos,
Marta Morell-García,
Laura Martínez-Sebastián,
José M Centeno-Rubiano,
Elena Montesinos-Sanchis,
Nelson Orta-Sibú
Publication year - 2018
Publication title -
archivos argentinos de pediatría
Language(s) - Spanish
Resource type - Journals
SCImago Journal Rank - 0.236
H-Index - 19
eISSN - 1668-3501
pISSN - 0325-0075
DOI - 10.5546/aap.2018.e769
Subject(s) - medicine , streptococcus agalactiae , cellulitis , sepsis , neonatal sepsis , meningitis , streptococcus dysgalactiae , streptococcus , adenitis , staphylococcus aureus , pediatrics , surgery , genetics , bacteria , biology
Septicemia is the main cause of neonatal mortality. The early-onset neonatal sepsis is usually related to maternal factor risks including recto-vaginal colonization. In the late-onset neonatal septicemia it is more difficult to establish the etiology because the majority of the cases are nosocomial or community related. The Streptococcus agalactiae (beta-hemolytic Streptococcus) is the most frequent germ associated with neonatal sepsis in developed countries. The late-onset form usually occurs with septic symptoms and meningitis and, in a few cases, with osteoarticular, skin and soft tissue infection. Adenitis-cellulitis syndrome is rarely seen, and its main cause is Staphylococcus aureus, followed by Streptococcus agalactiae. We report two cases of group B Streptococcus late-onset neonatal septicemia, both of them with adenitis-cellulitis syndrome. Patients recovered uneventfully after an adequate antibiotic therapy.