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Case Reports in Pediatrics
Volume 2014, Article ID 689678, 3 pages
http://dx.doi.org/10.1155/2014/689678
Case Report

Acute Neonatal Parotitis with Late-Onset Septic Shock due to Streptococcus agalactiae

Department of Pediatrics, Hospital of the Saint Omer Region, 62505 Saint Omer, France

Received 30 November 2013; Accepted 24 December 2013; Published 5 February 2014

Academic Editors: N.-C. Chiu, A. C. Lee, and J. Muraskas

Copyright © 2014 M. Boulyana. 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.

Abstract

Acute neonatal parotitis (ANP) is a very rare disease. Most cases are managed conservatively; early antibiotics and adequate hydration may reduce the need for surgery. The most common cause of ANP is Staphylococcus aureus. We report a rare case of acute neonatal parotitis with late-onset septic shock due to Streptococcus agalactiae. The diagnosis was confirmed with ultrasound and isolation of Streptococcus agalactiae from blood culture. The patient was treated successfully with 10 days of intravenous antibiotics and supportive measures. Despite being rare, streptococcal ANP should be considered in the etiological diagnosis of neonatal sepsis. Early diagnosis and appropriate antibiotic might prevent serious complications.