Skip to main content

Advertisement

SpringerLink
Log in

Maternal postpartum Group B Beta-hemolytic streptococcus ventriculoperitoneal shunt infection

  • Case Report
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Aharoni A, Potasman I, Levitan Z, Golan D, Sharf M (1990) Postpartum maternal group B streptococcal meningitis. Rev Infect Dis 12:273–276

    Article  CAS  PubMed  Google Scholar 

  2. American Academy of Pediatrics (2000) Group B Streptococcal infections. In: Pickering LK (ed) 2000 red book: report of the Committee on Infectious Diseases, 25th edn. American Academy of Pediatrics, Elk Grove Village, pp 537–544

    Google Scholar 

  3. Davis L, Hargreaves C, Robinson PN (1993) Postpartum meningitis. Anaesthesia 48:788–789

    Article  CAS  PubMed  Google Scholar 

  4. Fox B (1994) Delayed-onset postpartum meningitis due to group B streptococcus. Clin Infect Dis 19:350–351

    Article  CAS  PubMed  Google Scholar 

  5. Landwehr JB, Isada NB, Pryde PG, Johnson MP, Evans MI, Canady AI (1994) Maternal neurosurgical shunts and pregnancy outcome. Obstet Gynecol 83:134–137

    PubMed  Google Scholar 

  6. Liakos AM, Bradley NK, Magram G, Muszynski C (2000) Hydrocephalus and the reproductive health of women: The medical implications of maternal shunt dependency in 70 women and 138 pregnancies. Neurol Res 22:69–88

    Article  CAS  PubMed  Google Scholar 

  7. Wisoff JH, Kratzert KJ, Handwerker SM, Young BK, Epstein F (1991) Pregnancy in patients with cerebrospinal fluid shunts: report of a series and review of the literature. Neurosurgery 29:827–831

    Article  CAS  PubMed  Google Scholar 

  8. Wolfe R, Norwick M, Bofill J (1998) Fatal maternal Beta-hemolytic group B streptococcal meningitis: a case report. Am J Perinatol 15:597–600

    Article  PubMed  Google Scholar 

  9. Yogev R (1985) Cerebrospinal fluid shunt infections: a personal view. Pediatr Infect Dis 4:113–118

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Pediatrics, Section of Pediatric Infectious Diseases, Indiana University School of Medicine, 702 Barnhill Drive 1740X, Indianapolis, Indiana, 46202–5225, USA

    Jason M. Kane & James H. Conway

  2. Department of Surgery, Section of Pediatric Neurological Surgery, Indiana University School of Medicine, 702 Barnhill Drive 1740X, Indianapolis, Indiana, 46202–5225, USA

    Kevin Jackson

Authors
  1. Jason M. Kane
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kevin Jackson
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. James H. Conway
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to James H. Conway.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kane, J.M., Jackson, K. & Conway, J.H. Maternal postpartum Group B Beta-hemolytic streptococcus ventriculoperitoneal shunt infection. Arch Gynecol Obstet 269, 139–141 (2004). https://doi.org/10.1007/s00404-002-0464-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00404-002-0464-7

Keywords

Search

Navigation