Neonatal streptococcus group B infection in Yaoundé (Cameroon) . Epidemiologic and clinical aspects
Kago, I.; Ndayo-Wouafo, M.; Tchokoteu, P.F.; Tetanye, E.; Tietche, F.; Doumbe, P.; Mbonda, E.; N'Koulou, H.; Mbede, J.
Annales de Pediatrie 39(9): 583-587
1992
ISSN/ISBN: 0066-2097 PMID: 1463306 Document Number: 396059
This study was designed to investigate epidemiologic and clinical features of neonatal group B streptococcal infections. Sixty cases seen over a 60-month period were reviewed. Incidence was 0.8% of admissions. Most affected infants were from low-income families (86.7% of mothers were unemployed and 73.5% of homes were without running water). Neonatal infection was delayed in most instances (76.67%). Fetid vaginal discharge (60%) and premature rupture of the membranes (35%) were the main findings upon history taking. Abnormal body temperature regulation (76.7%) was the most prominent clinical manifestation. Respiratory distress developed in 25% of patients. Meningeal involvement occurred in 73.3% of patients. Serotype B III was recovered in 31 of the 34 cases (91%) in which serotype was determined. Mortality rate was 21.7% and permanent sequelae occurred in 8.3% of patients.