Recurrent group B streptococcal septicemia in a very low birth weight infant with infective endocarditis and submandibular cellulitis.

Case Report Our patient, the second of a set of twins, was a Chinese baby girl delivered small for gestational age at 28+3 weeks via emergency caesarian section with a birth weight of 730 g. The pregnancy was complicated by twin-twin transfusion with discrepant growth and maternal hyperthyroidism. A previous sibling had no history of GBS infection but the mother was not screened for GBS via vaginal swab. She was ventilated at birth for poor respiratory effort and her neonatal course was complicated by pneumothorax, meconium plug syndrome and large patent ductus arteriosus. Pulmonary valve stenosis was found on echocardiography on day 20 of life.