Group B streptococcal infection differential diagnosis: Difference between revisions
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{ | {[[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/Group_B_streptococcal_infection]] | ||
{{CMG}}; {{AE}} {{Rim}} | {{CMG}}; {{AE}} {{Rim}} | ||
==Overview== | ==Overview== | ||
Group B Streptococcus | Group B Streptococcus ([[GBS]]) infection causes a wide variety of clinical presentations depending on the type of the affected subjects; therefore, the differential diagnosis of GBS infection varies based on the age of the patient and their health condition. Early-onset GBS infection in neonates might lead to [[pneumonia]], [[meningitis]], or [[sepsis]] and it must be differentiated from other types of infectious agents in this category of patients. | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
===Sepsis and Pneumonia in Neonates=== | |||
The differential diagnosis for early-onset GBS neonatal [[pneumonia]] or [[sepsis]] includes infection with any of the following: | |||
* [[Escherichia coli]] ([[E.coli]]) | |||
* [[Klebsiella]] | |||
* [[Staphylococcus aureus]] | |||
* [[Streptococcus pneumoniae]] | |||
* [[Haemophilus influenza]] | |||
* [[Herpes virus]] | |||
* [[Candida]] | |||
* [[Listeria]] (less commonly) | |||
* [[Mycobacterium tuberculosis]] (less commonly) | |||
Shown below is a table summarizing the different pathogens that can cause meningitis in infants. | The differential diagnosis for late-onset GBS neonatal [[pneumonia]] or [[sepsis]] includes infection with any of the following: | ||
* [[Staphylococcus aureus]] | |||
* [[Streptococcus pneumoniae]] | |||
* [[Streptococcus pyogenes]] | |||
* [[Virus]]es ([[adenovirus]], [[enterovirus]]es, [[influenza]], [[parainfluenza]], [[rhinovirus]], and [[respiratory syncytial virus]]) | |||
* [[Candida]] (less commonly) | |||
* [[Chlamydia trachomatis]] | |||
===Meningitis in Infants=== | |||
Shown below is a table summarizing the different pathogens that can cause meningitis in infants.<ref name="pmid15494903">{{cite journal| author=Tunkel AR, Hartman BJ, Kaplan SL, Kaufman BA, Roos KL, Scheld WM et al.| title=Practice guidelines for the management of bacterial meningitis. | journal=Clin Infect Dis | year= 2004 | volume= 39 | issue= 9 | pages= 1267-84 | pmid=15494903 | doi=10.1086/425368 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15494903 }} </ref> | |||
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[[Category:Streptococcaceae]] | [[Category:Streptococcaceae]] | ||
[[Category:Obstetrics]] | [[Category:Obstetrics]] | ||
[[Category:Mature chapter]] | [[Category:Mature chapter]] | ||
[[Category:Pediatrics]] | |||
[[Category:Neonatology]] | |||
{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
Latest revision as of 22:10, 21 February 2019
{
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]
Overview
Group B Streptococcus (GBS) infection causes a wide variety of clinical presentations depending on the type of the affected subjects; therefore, the differential diagnosis of GBS infection varies based on the age of the patient and their health condition. Early-onset GBS infection in neonates might lead to pneumonia, meningitis, or sepsis and it must be differentiated from other types of infectious agents in this category of patients.
Differential Diagnosis
Sepsis and Pneumonia in Neonates
The differential diagnosis for early-onset GBS neonatal pneumonia or sepsis includes infection with any of the following:
- Escherichia coli (E.coli)
- Klebsiella
- Staphylococcus aureus
- Streptococcus pneumoniae
- Haemophilus influenza
- Herpes virus
- Candida
- Listeria (less commonly)
- Mycobacterium tuberculosis (less commonly)
The differential diagnosis for late-onset GBS neonatal pneumonia or sepsis includes infection with any of the following:
- Staphylococcus aureus
- Streptococcus pneumoniae
- Streptococcus pyogenes
- Viruses (adenovirus, enteroviruses, influenza, parainfluenza, rhinovirus, and respiratory syncytial virus)
- Candida (less commonly)
- Chlamydia trachomatis
Meningitis in Infants
Shown below is a table summarizing the different pathogens that can cause meningitis in infants.[1]
| Age | Possible pathogens causing the bacterial meningitis |
| < 1 month | |
| 1-23 months |
References
- ↑ Tunkel AR, Hartman BJ, Kaplan SL, Kaufman BA, Roos KL, Scheld WM; et al. (2004). "Practice guidelines for the management of bacterial meningitis". Clin Infect Dis. 39 (9): 1267–84. doi:10.1086/425368. PMID 15494903.