Group B strep disease

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Symptoms

By Mayo Clinic staff

Infants
Most babies born to women carrying group B strep are healthy. But the few who are infected by group B strep during labor can become critically ill.

In infants, illness caused by group B strep can take two forms: early-onset or late-onset.

Early-onset group B strep disease. This is the more common and serious form of group B strep disease in infants. A baby with early-onset group B strep disease typically becomes sick within 12 hours after birth. Signs and symptoms may include:

  • Fever
  • Difficulty feeding
  • Lethargy

Late-onset group B strep disease. Late-onset group B strep disease develops within a week to a few months after birth. Signs and symptoms may include:

  • Coughing and congestion, as with a cold
  • Fever
  • Difficulty feeding
  • Lethargy
  • Seizures

Adults
If you're like many adults, you may carry group B strep in your body, usually in your bowel, vagina, rectum, bladder or throat. Most adults simply carry the bacterium and have no signs or symptoms.

In some cases, group B strep may cause a urinary tract infection or other more serious infections such as blood infections (bacteremia) or pneumonia.

When to see a doctor
As an adult, if you experience any signs or symptoms of group B strep infection — particularly if you're pregnant, you have a chronic medical condition or you're older than 65 — contact your doctor right away.

If you notice your infant has any of the signs or symptoms of group B strep disease, tell your baby's doctor immediately.

References
  1. Puopolo KM, et al. Group B streptococcal infection in neonates and young infants. http://www.uptodate.com/home/index.html. Accessed Sept. 28, 2010.
  2. Group B strep prevention: Frequently asked questions. Centers for Disease Control and Prevention. http://www.cdc.gov/GroupBStrep/general/gen_public_faq.htm. Accessed Oct. 4, 2010.
  3. Group B strep prevention: Adult disease. Centers for Disease Control and Prevention. http://www.cdc.gov/groupbstrep/general/gen_public_adult.htm. Accessed Oct. 4, 2010.
  4. Group B strep prevention: Protect your baby from group B strep! Centers for Disease Control and Prevention. http://www.cdc.gov/groupbstrep/general/protect-your-baby-GBS.htm. Accessed Oct. 4, 2010.
  5. Ogle JW, et al. Infections: Bacterial & spirochetal. In: Hay WW Jr, et al. Current Diagnosis & Treatment: Pediatrics. 19th ed. New York, N.Y.: McGraw-Hill Medical; 2009. http://www.accessmedicine.com/content.aspx?aid=3410745. Accessed Oct. 4, 2010.
  6. Lachenauer CS, et al. Group B streptococcus. In: Kliegman RM, et al. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/221546375-2/0/1608/528.html?tocnode=54478925&fromURL=528.html#4-u1.0-B978-1-4160-2450-7..50185-7_4188. Accessed Oct. 4, 2010.
  7. Baron M, et al. Group B streptococcal infections in nonpregnant adults. http://www.uptodate.com/home/index.html. Accessed Sept. 28, 2010.
  8. Apgar BS, et al. Prevention of group B streptococcal disease in the newborn. American Family Physician. 2005;71:903.
  9. Centers for Disease Control and Prevention, et al. Prevention of perinatal group B streptococcal disease. MMWR. 2002;51:1. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5111a1.htm. Accessed Oct. 7, 2010.
DS01107 Dec. 4, 2010

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