Is Lumbar Puncture Necessary to Exclude Meningitis in Neonates and Young Infants: Lessons From the Group B Streptococcus Cellulitis–Adenitis Syndrome

Experience and Reason| October 01 1998 Is Lumbar Puncture Necessary to Exclude Meningitis in Neonates and Young Infants: Lessons From the Group B Streptococcus Cellulitis–Adenitis Syndrome Esam A. Albanyan, MBBS; Esam A. Albanyan, MBBS Search for other works by this author on: This Site PubMed Google Scholar Carol J. Baker, MD Carol J. Baker, MD Search for other works by this author on: This Site PubMed Google Scholar Reprint requests to (E.A.A.) Section of Infectious Diseases, Department of Pediatrics, Baylor College of Medicine, One Baylor Plaza, Houston, TX, 77030. Pediatrics (1998) 102 (4): 984–985. https://doi.org/10.1542/peds.102.4.984 Article history Received: December 17 1997 Accepted: April 13 1998 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn MailTo Tools Icon Tools Get Permissions Cite Icon Cite Search Site Citation Esam A. Albanyan, Carol J. Baker; Is Lumbar Puncture Necessary to Exclude Meningitis in Neonates and Young Infants: Lessons From the Group B Streptococcus Cellulitis–Adenitis Syndrome. Pediatrics October 1998; 102 (4): 984–985. 10.1542/peds.102.4.984 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search toolbar search search input Search input auto suggest filter your search All PublicationsAll JournalsPediatricsHospital PediatricsPediatrics In ReviewNeoReviewsAAP Grand RoundsAAP NewsAll AAP Sites Search Advanced Search Subjects: Adolescent Health/Medicine Topics: cellulitis, diagnostic spinal puncture, lymphadenitis, meningitis, streptococcus group b Cellulitis–adenitis syndrome is an established but uncommon presentation of group B streptococcus (GBS) infection in neonates and young infants.1 ,2 The pathogenesis involves either GBS mucus membrane colonization with subsequent bacteremia and seeding of the soft tissues, or in the context of GBS facial cellulitis, ipsilateral otitis media with secondary lymphatic spread and ensuing bacteremia.2 ,3 While meningitis accompanying cellulitis or adenitis in young infants occurs, it is described as rare.4 Because cellulitis–adenitis is an infrequent manifestation of GBS disease during infancy, the incidence of associated central nervous system (CNS) involvement is unknown. Debate currently exists over the need for lumbar puncture in neonates in other clinical situations.5–8 In addition there is increasing use of algorithms to define the extent of evaluation needed for the infant with suspected bacterial infection. These issues raise concern that the lumbar puncture in the initial diagnostic evaluation may be overlooked.... You do not currently have access to this content.