Frediani T, Lucarelli S, Barbato M, Anania C, Capocaccia P, Sordillo P, Scalamandrè A, Cardi E
Istituto di Clinica Pediatrica, II Cattedra di Puericultura, Università degli Studi La Sapienza, Roma, Italia.
Pediatr Med Chir. 1987 Nov-Dec;9(6):767-70.
Group B streptococci (GBS) have gained much attention in recent years as a cause of serious infection in the newborn. Traditionally two clinical syndromes have been defined as "early onset", with fulminant septicemia, pneumonia and meningitis, and "late onset", with a mild meningitis. More recently some previously unrecognized clinical presentations of GBS disease have been documented. These include asymptomatic bacteremia, septic arthritis, osteomyelitis, ethmoiditis with orbital cellulitis, pneumoniae with empyema, conjunctivitis. The literature to date reports 30 instances of osteomyelitis due to GBS. This report describes a forty days infant with a group B streptococcal osteomyelitis of the proximal humerus. Has been also emphasized the increased frequency and the benign clinical course of streptococcal osteomyelitis in the neonate.
近年来，B族链球菌（GBS）作为新生儿严重感染的病因受到了广泛关注。传统上，两种临床综合征被定义为“早发型”，伴有暴发性败血症、肺炎和脑膜炎，以及“晚发型”，伴有轻度脑膜炎。最近，GBS疾病的一些以前未被认识到的临床表现也有文献记载。这些包括无症状菌血症、化脓性关节炎、骨髓炎、伴有眶蜂窝织炎的筛窦炎、伴有脓胸的肺炎、结膜炎。迄今为止的文献报道了30例GBS引起的骨髓炎。本报告描述了一名40天大的婴儿，患有肱骨近端B族链球菌骨髓炎。还强调了新生儿链球菌骨髓炎的发病率增加和临床病程良性。
