RESUMEN
BACKGROUND: Women with cerebrospinal fluid shunts require special management during the course of pregnancy. CASE REPORT: We describe a case of delayed postpartum ventriculoperitoneal shunt infection by Group B streptococcus in a 19-year-old who presented complaining of headache and a fever. The CSF culture from the shunt tap and the distal shunt tip both grew Group B beta-hemolytic streptococcus. CONCLUSION: Women who are colonized with Group B streptococcus and who have cerebrospinal fluid shunts should receive perinatal antibiotic prophylaxis, and may require more extended prophylactic antibiotics with cesarean section deliveries to prevent catheter tip colonization and subsequent shunt infection.
Asunto(s)
Infección Puerperal/diagnóstico , Infecciones Estreptocócicas/diagnóstico , Streptococcus agalactiae/aislamiento & purificación , Derivación Ventriculoperitoneal/efectos adversos , Adulto , Profilaxis Antibiótica , Cesárea , Diagnóstico Diferencial , Femenino , Humanos , Atención Posnatal , Embarazo , Atención Prenatal , Infección Puerperal/líquido cefalorraquídeo , Infección Puerperal/etiología , Infección Puerperal/terapia , Infecciones Estreptocócicas/líquido cefalorraquídeo , Infecciones Estreptocócicas/etiología , Infecciones Estreptocócicas/terapiaRESUMEN
We report a case of post-partum meningitis due to group B-streptococcus developing 24 h after vaginal delivery. Diagnosis was established by latex agglutination of streptococcus B-antigenes and confirmed by cerebrospinal fluid-culture later on. Clinical and haematological signs of meningitis disappeared after treatment with ampicillin. In a review of the literature we found eight other cases of streptococcal post-partum meningitis. In all of these cases, delivery was vaginal and no antibioprophylaxis was given.
