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March 30, 1979

Group B Streptococcal Urinary Tract Infection in an Infant

Author Affiliations

University of Virginia Medical Center Charlottesville

JAMA. 1979;241(13):1327-1328. doi:10.1001/jama.1979.03290390015018

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To the Editor.—  We read St Laurent-Gagnon and Weber's report of a 6-week-old infant with group B streptococcal urinary tract infection (240:1269, 1978). At the time of the article's publication, we were treating a 3-week-old infant with a similar infection.

Report of a Case.—  The baby was the product of a full-term, uncomplicated pregnancy, and his birth weight was 4,400 g. His neonatal course was uncomplicated, and he was discharged at the age of 3 days. He had done well until 24 hours before admission, when fever, vomiting, loose stools, and irritability developed. The 4.4-kg patient had a height and weight at the 50th percentile. His temperature was 39.2 °C; blood pressure was 80 mm Hg by palpation. The findings from his examination were otherwise unremarkable. Laboratory study values included a hematocrit reading of 38% and a WBC count of 15,600/cu mm, with two juvenile cells, 17 band forms,