Group B streptococcal infection physical examination
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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.
Physical Examination of Neonates
Appearance of the Patient
- The newborn appear lethargic and irritable with bluish color to skin, cold skin, and difficulty breathing.
- The temperature can be unstable, being either high or low
- Tachycardia may be present
- Hypotension may be present
- Tachypnea may be present
- Breathing difficulty may be noted, including flaring of the nostrils, grunting, rapid labored breathing with short periods of apnea
- 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.