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Neonatal sepsis due to group B beta-hemolytic Streptococcus (GBS) is reported to occur in about 1 out of 330 live births. Right-sided Bochdalek hernia (RBH) occurs in about 1 of 20,000 live births. The combination of group B streptococcal sepsis and delayed appearance of a right Bochdalek hernia is an infrequently reported phenomenon--18 patients have been previously reported in the English literature. We add four patients from our own experience to these previous reports. Since approximately 10% to 15% of the newborn population are exposed to group B Streptococcus we suspect that the inadequate diaphragmatic motion on the side of the Bochdalek hernia predisposes the child to development of septicemia and/or pneumonitis. Once the etiology has been established and appropriate antibiotic therapy instituted, progressive improvement in the patient's course should be seen. This is in contrast to a very significant mortality rate in many of the patients having early onset GBS. Any child, therefore, surviving early onset GBS only to deteriorate again, should be suspected of having an associated right Bochdalek hernia, and diagnostic steps should be taken to evaluate the integrity of the right diaphragm.
K W Ashcraft, and
T M Holder, and
R A Amoury, and
F K Hall, and
W D Rising, and
R T Hall, and
R J Sharp
January 2016,
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K W Ashcraft, and
T M Holder, and
R A Amoury, and
F K Hall, and
W D Rising, and
R T Hall, and
R J Sharp
June 1992,
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K W Ashcraft, and
T M Holder, and
R A Amoury, and
F K Hall, and
W D Rising, and
R T Hall, and
R J Sharp
November 1976,
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K W Ashcraft, and
T M Holder, and
R A Amoury, and
F K Hall, and
W D Rising, and
R T Hall, and
R J Sharp
September 1987,
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K W Ashcraft, and
T M Holder, and
R A Amoury, and
F K Hall, and
W D Rising, and
R T Hall, and
R J Sharp
September 1980,
American family physician,
K W Ashcraft, and
T M Holder, and
R A Amoury, and
F K Hall, and
W D Rising, and
R T Hall, and
R J Sharp
January 1990,
Zhonghua Minguo xiao er ke yi xue hui za zhi [Journal]. Zhonghua Minguo xiao er ke yi xue hui,
K W Ashcraft, and
T M Holder, and
R A Amoury, and
F K Hall, and
W D Rising, and
R T Hall, and
R J Sharp
November 1992,
Pediatrics in review,
K W Ashcraft, and
T M Holder, and
R A Amoury, and
F K Hall, and
W D Rising, and
R T Hall, and
R J Sharp
May 1981,
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K W Ashcraft, and
T M Holder, and
R A Amoury, and
F K Hall, and
W D Rising, and
R T Hall, and
R J Sharp
January 1995,
Journal of perinatology : official journal of the California Perinatal Association,
K W Ashcraft, and
T M Holder, and
R A Amoury, and
F K Hall, and
W D Rising, and
R T Hall, and
R J Sharp
January 2002,
Journal of perinatology : official journal of the California Perinatal Association,
