Paediatria Croatica, Vol. 57 No. 2, 2013.
Stručni rad
NEURODEVELOPMENTAL OUTCOMES AND NEUROIMAGING FINDINGS IN FIVE CHILDREN WITH EARLY NEWBORN SEPSIS AND MENINGOENCEPHALITIS CAUSED BY GROUP B STREPTOCOCCUS
Ana Balažin
orcid.org/0000-0002-5974-988X
; Dom zdravlja Zagreb Centar
Ivana Đaković
; Klinika za pedijatriju, Klinika za dječje bolesti Zagreb, Klaićeva 16
Vlatka Mejaški Bošnjak
orcid.org/0000-0002-1068-5037
; Klinika za pedijatriju, Klinika za dječje bolesti Zagreb, Klaićeva 16
Sažetak
The aim is to present five patients who had newborn sepsis and meningoencephalitis caused by group B streptococcus, with emphasis on their perinatal risk factors, neuroimaging findings (ultrasound, magnetic resonance) and neurodevelopmental outcomes. Data were obtained retrospectively for the 2008-2011 period from archives of the Zagreb Children's Hospital, Department of Neuropediatrics. All patients were born at term. Two mothers were febrile during labor and one received amoxicillin with clavulanic acid. Data on maternal group B streptococcus status during pregnancy or information on the administration of intrapartal antibiotic prophylaxis were unavailable in four cases. Two patients had mild neurodevelopment impairment presenting either as impairment of speech or motor development, with corresponding neuroimaging finding of enlargement of the ventricles and subarachnoid spaces or leukomalation with cystic lesions in frontal regions. Three patients had severe multiple neurodevelopment impairments; two of them had associated vision impairment, epilepsy and hydrocephalus with ventriculoperitoneal shunting, while the patient with a worse outcome also had hearing impairment. Neuroimaging findings of these patients showed areas of leukomalacia with numerous cystic lesions, mostly localized in telencephalon, accompanied by various degrees of ventricle enlargement and corpus callosum thinning. In conclusion, neuroimaging findings revealed destructive brain lesions with predilection for telencephalic region. Early newborn sepsis with meningoencephalitis caused by group B streptococcus has unfavorable outcome in term newborns; three out of five patients had severe multiple neurodevelopmental impairment. Since this disease can be effectively prevented, there is a need to establish and implement a national prevention strategy.
Ključne riječi
infant, newborn; meningitis, bacterial – complications; infectious disease transmission, vertical – prevention and control; Streptococcal infections - complications; Streptococcus agalactiae
Hrčak ID:
105046
URI
Datum izdavanja:
25.6.2013.
Posjeta: 1.027 *