Maternal pneumococcal endometritis may cause early-onset neonatal sepsis

PACE J; BONOFIGLIO L; LÓPEZ MORAL L; BADÍA M; LACHENER D; REGUEIRA M; MOLLERACH M

Journal of Pediatric Infectious Diseases

IOS Press

Lugar: Amsterdam; Año: 2007 vol. 2 p. 241 - 245

1305-7707

Abstract Streptococcus pneumoniae is a rarely recognized cause of neonatal sepsis. A case of early-onset neonatal sepsis due to penicillin susceptible pneumococci and maternal endometritis is described. A male infant was born at 33 weeks’ gestation. The baby developed bacteraemia with S. pneumoniae and recovered completely following treatment with antibiotics. Four days after the partum the mother was readmitted with fever and S. pneumoniae was recovered from an endometrial sample. Isolates from mother and child were both serogroup 1 and confirmed to be identical on the basis of BOX-PCR typing and pulse-field gel electrophoresis. Perinatal transmission of S. pneumoniae probably occurred by ascending infection from the maternal genital tract .