Group B streptococcal infection history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]

History and Symptoms

GBS in Neonates

The symptoms of GBS disease can seem like other health problems in newborns and infants. Most newborns with early-onset disease have symptoms on the day of birth. Babies who develop late-onset disease may appear healthy at birth and develop symptoms of group B strep disease after the first week of life. The most common clinical syndromes of early-onset disease are sepsis and pneumonia; less frequently, early-onset infections can lead to meningitis. Symptoms of GBS infection include:

• Apnea
• Bluish color to skin
• Difficulty breathing
• Difficulty feeding
• Fever
• Irritability, or lethargy (limpness or hard to wake up the baby)
• Respiratory distress

GBS in Pregnancy

GBS infection in pregnancy is most commonly asymptomatic. If the patient is symptomatic, the constellation of the symptoms depends on the type of infection GBS is causing:

• Urinary tract infection
  • Urinary frequency
  • Urinary urgency
  • Dysuria
  • Fever (in case of pyelonephritis)
• Chorioamnionitis
  • Fever (which might be low-grade)
  • Uterine tenderness
  • Foul-smelling or purulent amniotic fluid
• Endometritis
  • Swelling of the abdomen
  • Abnormal vaginal bleeding or discharge
  • Discomfort with bowel movement (including constipation)
  • Fever
  • General discomfort, uneasiness, or ill feeling
  • Pain in lower abdomen or pelvic region (uterine pain)
• Premature rupture of membrane

References

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