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Canadian Journal of Infectious Diseases
Volume 9, Issue 3, Pages 185-188
Case Report

Puerperal Fever and Neonatal Pleural Empyema and Bacteremia Caused by Group A Streptococcus

Laurance Lequier and Wendy L Vaudry

Division of Infectious Diseases, Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada

Received 18 February 1997; Accepted 21 May 1997

Copyright © 1998 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A term neonate developed early onset of sepsis and pleural empyema with group A streptococcus. Her mother also became septic with group A streptococcus in the early postpartum period. The infant required initial chest tube drainage. After reaccumulation of pleural fluid after removal of the chest tube, a thoracotomy with decortication was performed. The isolates of group A streptococcus were analyzed and found to be identical serotypes of the same bacterium. The serotyping revealed both to be M type 1, T pattern 1. Polymerase chain reaction detected the genomic sequence for streptococcal pyrogenic exotoxin A and B in both isolates. With the increase in invasive streptococcal infections in the community, serious perinatal infections may become more frequent.