2017 Volume 76 Issue 2 Pages 74-78
Group B streptococcus (GBS) is a causative pathogen of meningitis and sepsis in neonates and early infants. To describe the characteristics of GBS meningitis in children, we studied 6 patients that were treated at the Department of Pediatrics and Child Health, Nihon University Itabashi Hospital. Among them, five were late onset cases and one was ultra-late onset. We determined the risk factors for neurological sequelae to be: a long period of initial symptoms before admission, septic shock at admission, the use of artificial ventilation, intractable seizure and a long serum CRP-positive period. There was no correlation between the capsular types and severity. Two cases had adverse outcomes and revealed strains that were less susceptible to ampicillin. Reconsideration is necessary to provide preventive measures against GBS in medical institutes.
