Streptococcus agalactiae'ya baǧli i̇ki neonatal pnömoni olgusu: Postmortem deneyim

Grup B streptococ (GBS) is the most prevalent agent of invasive disease in the newborn. We report two cases of neonatal pneumonia due to GBS in postmortem. First case was a 2580 g boy who was born to 22-year-old primigravida with premature rupture of the membranes. The baby who had wheezing and respiration difficulties after birth, blood oxygen saturation level remained at 60% and clinical state failed to improve, died 15 hrs after admission. Second case was a baby, who was delivered in the 40th week of gestation by vaginal birth from a 29-year-old first time mother with gestational diabetes because of shoulder dystocia. The oxygen saturation remained at around 50% for 18 hrs when death occured. Autopsies were performed in the Council of Forensic Medicine on these two cases. Streptococcus agalactiae was found to grow in the lung tissues. The aim of the presentation is to draw attention to the possibility of GBS infection in the premature and term newborns with neonatal pneumonia because of GBS was growed in postmortem lung tissues of these two cases. In our country, routine screening of the vaginal and rectal GBS colonization in the last trimester of pregnancy will result in a decrease in perinatal morbidity and mortality.