Group B streptococcal infection physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]

Overview

The physical examination of neonates with Group B Streptococcus (GBS) infection reveals lethargy, cyanosis, an unstable temperature that can be either high or low, tachycardia, and breathing difficulty. The breathing difficulty is manifested by flaring of the nostrils, grunting, and tachypnea with short periods of apnea. Hypotension might also be present. In case of early-onset GBS infection, the 5 minutes apgar score of the newborn may be low.[1]

Physical Examination of Neonates

Appearance of the Patient

Vitals

Temperature

  • The temperature can be unstable, being either high or low

Pulse

Rate

Blood Pressure

Respiratory Rate

Respiration

Skin

Extremities

References

  1. Mayor-Lynn K, González-Quintero VH, O'Sullivan MJ, Hartstein AI, Roger S, Tamayo M (2005). "Comparison of early-onset neonatal sepsis caused by Escherichia coli and group B Streptococcus". Am J Obstet Gynecol. 192 (5): 1437–9. doi:10.1016/j.ajog.2004.12.031. PMID 15902130.

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