A 13-day-old female infant was seen at the outpatient clinic for poor feeding and sleepiness. She had been born at term after an uncomplicated pregnancy; elective cesarean delivery had been performed for primigravid breech presentation. The mother was a well-controlled diabetic. Birth weight had been 4,040 g, and Apgar scores, 9 and 10 at one and five minutes, respectively. A left hip click (Ortolani's) had been noted, which was not reproducible after two days. She had been discharged in apparent good health at 1 week of age.
On the present admission at 13 days of age, she did not appear ill; however, CSF contained 24 WBCs per cubic millimeter, and subsequent culture of the fluid revealed group B Streptococcus. She was treated for two weeks with intravenous penicillin G potassium with complete clinical recovery from her meningitis.
Following her hospital admission, limited motion of her right leg was noted, together
Clarke TA, Edwards DK, Merritt A, Young LW. Radiological Case of the Month. Am J Dis Child. 1982;136(1):69-70. doi:10.1001/archpedi.1982.03970370071018