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Transverse myelitis: unusual sequelae of neonatal group B streptococcus disease
Michael S Schimmel1, Yechiel Schlesinger, Itai Berger
1Department of Neonatology, Shaare Zedek Medical Center, Jerusalem, Israel.
Abstract:
Group B streptococcus (GBS) meningitis is one of the most serious infections in the neonatal period. We wish to report a case of transverse myelitis following early onset form of GBS meningitis. The diagnosis and the clinical approach will be discussed.
Insights
Group B streptococcus (GBS) meningitis is a severe neonatal infection. This case report details transverse myelitis occurring after early-onset GBS meningitis, discussing diagnosis and management.
Area of Science:
- Neonatal infectious diseases
- Neurology
- Pediatric infectious diseases
Background:
- Group B streptococcus (GBS) is a leading cause of neonatal meningitis, a serious infection.
- Neonatal meningitis can lead to severe neurological complications.
- Transverse myelitis is an inflammatory condition affecting the spinal cord.
Observation:
- A case of transverse myelitis following early-onset GBS meningitis is presented.
- The patient developed neurological deficits indicative of spinal cord inflammation.
- Clinical presentation and diagnostic workup are detailed.
Findings:
- The case highlights a rare neurological complication of GBS meningitis.
- Diagnostic challenges in differentiating GBS meningitis sequelae are discussed.
- The clinical course and management strategies are outlined.
Implications:
- This case underscores the importance of considering neurological complications in neonatal meningitis.
- Early recognition and appropriate management of transverse myelitis are crucial for patient outcomes.
- Further research into the pathophysiology and treatment of GBS meningitis-associated myelitis is warranted.