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July 1979

Endophthalmitis Associated With Group-B Streptococcal Meningitis in an Infant

Am J Dis Child. 1979;133(7):752-753. doi:10.1001/archpedi.1979.02130070088021

In newborns, group-B streptococcal (GBS) infections occur most often as septicemia with or without meningitis and pneumonia.1 Less frequently, infections at many sites are due to this organism. The following report describes GBS meningitis associated with endophthalmitis in a neonate. We are unable to find another report of an intraocular infection associated with this organism.

Report of a Case.—An 8-day-old girl was admitted to the Children's Hospital of Orange County California on Jan 12, 1976. There was a two-day history of diarrhea and decreased feeding along with periods of lethargy and irritability. The patient was a 3,350-g product of an uncomplicated pregnancy, labor, and delivery. On admission, the patient's temperature was 38.6 °C rectally, the pulse rate was 120 beats, respirations were 32/min, and weight was 3,345 g. The infant was very irritable, with a sharp, shrill cry. The neck was supple and the anterior fontanelle was soft