Recurrent late-onset group B streptococcus sepsis in a neonate from breast milk

Soumya R Thomas, Tasnim Dawoud, Iman Doss, Zakariya Al-Salam

Journal of Clinical Neonatology 2017 6(3):192-194

Group B streptococcus (GBS) or Streptococcus agalactiae is a cause of considerable neonatal morbidity and mortality. Intrapartum antibiotic prophylaxis for mothers colonized with GBS has markedly reduced the rates of early-onset neonatal GBS bacteremia. Recurrent late-onset GBS bacteremia is a rare occurrence. Mucosal colonization and breast milk contamination have been implicated as causes of the recurrence. We report a case of recurrent late-onset neonatal GBS bacteremia from the United Arab Emirates, in a term baby whose mother was GBS negative on antenatal screens, with breast milk culture positivity for GBS. To our knowledge, this is the first report from the Middle East region.

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