Maternal postpartum Group B Beta-hemolytic streptococcus ventriculoperitoneal shunt infection

Authors: Kane, Jason¹; Jackson, Kevin²; Conway, James³

Source: Archives of Gynecology and Obstetrics, Volume 269, Number 2, January 2004 , pp. 139-141(3)

Publisher: Springer

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Abstract:

<Para OutputMedium="All">Women with cerebrospinal fluid shunts require special management during the course of pregnancy.</Para> <Para OutputMedium="All">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.</Para> <Para OutputMedium="All">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.</Para>

Keywords: Streptococcus agalactiae; Ventriculoperitoneal shunt; Cesarean section

Document Type: Research article

DOI: http://dx.doi.org/10.1007/s00404-002-0464-7

Affiliations: 1: Department of Pediatrics, Section of Pediatric Infectious Diseases, Indiana University School of Medicine, 702 Barnhill Drive 1740X, Indianapolis, Indiana, 46202–5225, USA, 2: Department of Surgery, Section of Pediatric Neurological Surgery, Indiana University School of Medicine, 702 Barnhill Drive 1740X, Indianapolis, Indiana, 46202–5225, USA, 3: Department of Pediatrics, Section of Pediatric Infectious Diseases, Indiana University School of Medicine, 702 Barnhill Drive 1740X, Indianapolis, Indiana, 46202–5225, USA, Email: jhconway@iupui.edu

Publication date: 2004-01-01