Late-onset and recurrent neonatal group B streptococcal disease associated with breast milk transmission
Article
Article Title | Late-onset and recurrent neonatal group B streptococcal disease associated with breast milk transmission |
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ERA Journal ID | 16733 |
Article Category | Article |
Authors | Kotiw, Michael (Author), Zhang, Gwang W. (Author), Daggard, Grant (Author), Reiss-Levy, Elizabeth (Author), Tapsall, John W. (Author) and Numa, Andrew (Author) |
Journal Title | Pediatric and Developmental Pathology |
Journal Citation | 6 (3), pp. 251-256 |
Number of Pages | 6 |
Year | 2003 |
Place of Publication | United States |
ISSN | 1093-5266 |
1615-5742 | |
Digital Object Identifier (DOI) | https://doi.org/10.1007/s10024-001-0276-y |
Web Address (URL) | https://journals.sagepub.com/doi/10.1007/s10024-001-0276-y |
Abstract | The purpose of the study was to determine the epidemiological relationships in three unrelated cases of neonatal late-onset Group B streptococcal (GBS) disease and maternal breast-milk infection with GBS. All deliveries were by caesarean section; case 1 was at term, and cases 2 and 3 were at 32- and 33-wk gestation, respectively. Case 1 relates to a mother with clinical mastitis and recurrent GBS infection in a 20-day-old male infant. Following antibiotic therapy and cessation of breastfeeding, the infant recovered without sequelae. Case 2 refers to a mother with clinical mastitis and the occurrence of late-onset GBS disease in 5-wk-old male twins. Despite intervention, one infant died and the second became ill. Following antibiotic therapy and cessation of breast-feeding, the surviving infant recovered without sequelae. Case 3 refers to a mother with sub-clinical mastitis and late-onset GBS infection occurring in a 6-day-old female twin. Following intervention, the infant recovered but suffered a bilateral thalamic infarction resulting in developmental delay and a severe seizure disorder. Following recovery of GBS from an inapparent mastitis and cessation of breast-feeding, the second infant remained well. Blood cultures from all affected infants and maternal breast milk were positive for GBS. Epidemiological relationships between neonatal- and maternal-derived GBS isolates were confirmed by a random amplified polymorphic DNA polymerase chain reaction assay (RAPD-PCR). This study is significant in that it has demonstrated that maternal milk (in cases of either clinical or sub-clinical mastitis) can be a potential source of infection resulting in either late-onset or recurrent neonatal GBS disease. |
Keywords | breast milk; group B streptococcal disease; infection; neonatal; random amplified polymorphic DNA; polymerase chain reaction; transmission |
Contains Sensitive Content | Does not contain sensitive content |
ANZSRC Field of Research 2020 | 310706. Virology |
321399. Paediatrics not elsewhere classified | |
320211. Infectious diseases | |
Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
Byline Affiliations | Department of Biological and Physical Sciences |
Department of Health, New South Wales |
https://research.usq.edu.au/item/9y7y7/late-onset-and-recurrent-neonatal-group-b-streptococcal-disease-associated-with-breast-milk-transmission
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