The Many Faces of Late Onset Group B Streptococcus Infection
A 6-week-old African American female born at 39 weeks gestation by spontaneous vaginal delivery was seen in the emergency department (ED) with a two-hour history of crying, fussiness and feeling warm to touch. Temperature at home was 38°C and she was given acetaminophen before she was brought to the ED. There was a maternal history of GBS vaginal colonization, which was adequately treated with 3 doses of peripartum ampicillin. The pregnancy, labour and delivery were uncomplicated. Notably, this patient had been evaluated and empirically treated with ampicillin and cefotaxime for sepsis 2½ weeks earlier when she had presented with a fever. On examination, rectal temperature was 39.2°C, Blood Pressure (BP) 103/59 mm Hg, Pulse 175/ min, respiratory rate 40/wmin and SpO2 on pulse oximetery was 100%...