Korean J Pediatr Infect Dis.  1998 Nov;5(2):289-295. 10.14776/kjpid.1998.5.2.289.

A Case of Late Onset Group B Streptococcal Sepsis with the Complication of Subclavian Vein Catheterization

• Kim WK
• Kim MR
• Kim DH
• Lee HR
• Park CY
• Hwang DH

• KMID: 2440296
• DOI: http://doi.org/10.14776/kjpid.1998.5.2.289

Abstract

Group B Streptococcal sepsis and/or meningitis is one of the most serious and common diseases in the neonatal period with high mortality and frequent complications. We have experienced a case of late onset type group B streptococcal sepsis and meningitis with a complication of subclavian vein catheterization. This 29-day-old male neonate was admitted to intensive care unit with the presentation of fever and septic shock. He was born with Cesarean delivery at 36 weeks and 3 days of gestational age. He showed multiple episodes of seizure after admission and group B streptococcus was isolated from blood. CSF profiles 10 days after admission showed the features of bacterial meningitis without organism isolated. Diffuse cerebral infarction was detected on brain CT 24 days after admission. In the 13th hospital day, the complication of subclavian vein catheterization occurred; Guide wire was cut during insertion and the distal portion of it(2.5cm) was retained in the left subclavian vein. We removed the retained guide wire with goose-fleck snare catheter via right femoral vein. This case was presented with a brief review of the literatures.

Keyword

Neonate; Group B streptococcal sepsis; Subclavian vein catheterization

MeSH Terms

Brain
Catheterization*
Catheters*
Cerebral Infarction
Femoral Vein
Fever
Gestational Age
Humans
Infant, Newborn
Intensive Care Units
Male
Meningitis
Meningitis, Bacterial
Mortality
Seizures
Sepsis*
Shock, Septic
SNARE Proteins
Streptococcus
Subclavian Vein*
SNARE Proteins