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Introduction. Group B streptococci are a well-known cause of early and late onset sepsis. In neonates and older children gram-negative bacteria are mostly found in urinary tract infections and urosepsis. In adults predisposing factors for group B streptococci urinary tract infection may include diabetes mellitus and chronic renal failure. Case presentation. We present a rare case of a five-month-old Caucasian boy with ultra late onset urosepsis and acute renal failure caused by group B streptococci serotype V. Excretion urography showed a subvesical obstruction that consequently was surgically corrected after antibiotic treatment of the acute infection. Conclusions: Group B streptococci serotype V, urogenitary tract malformations, previous hospitalization and medical interventions may be important risk factors for the development of ultra late onset Group B streptococci sepsis in non-neonates. © 2012 Freudenstein et al; licensee BioMed Central Ltd.
Freudenstein, D., Reinshagen, K., Petzold, A., Debus, A., Schroten, H., & Tenenbaum, T. (2012). Ultra late onset group B streptococcal sepsis with acute renal failure in a child with urethral obstruction: A case report. Journal of Medical Case Reports, 6. https://doi.org/10.1186/1752-1947-6-68