Babies who get group B strep a week or so after birth may have signs such as: Decreased movement of an arm or leg. Pain with movement of an arm or leg. Breathing problems. Fever. Red area on the face or other part of the body. Pregnant women may have group B strep without symptoms. When they have symptoms, these may include: Having to urinate ...Almost half of neonatal sepsis survivors return to the hospital at least once after recovery. Some babies develop an infection of the membranes surrounding their brain called meningitis. Newborns who have this condition may develop serious symptoms and side effects, including: Extreme sluggishness (lethargy).Mar 16, 2022 · Serogroup B meningococcal vaccines, such as Bexero or Trumenba. All children should be vaccinated at 11 or 12 with one of the conjugate vaccines, with a booster dose at age 16. As for the serogroup B vaccine, teens should definitely get it if. they have a complement deficiency (this is something that is generally diagnosed by the teenage years). Feb 6, 2023 · Meningitis is an infection of the membranes that cover the brain and spinal cord. While meningitis affects people in all age groups, children 2 and younger are most at risk. Without prompt treatment, infants with meningitis can suffer permanent brain damage or even death. Learn more about the causes, symptoms, and treatment of this dangerous ... Symptoms and Signs of Neonatal HSV Infection. Manifestations generally occur between the 1st and 3rd weeks of life but rarely may not appear until as late as the 4th week. Neonates may present with local or disseminated disease. Skin vesicles are common with either type, occurring in about 70% overall. Neonates with no skin vesicles usually ...The MMR vaccine is very safe. Most side effects are mild and do not last long, such as: the area where the needle goes in looking red, swollen and feeling sore for 2 to 3 days; around 7 to 11 days after the injection, babies or young children may feel a bit unwell or develop a high temperature for about 2 or 3 daysEmail Meningitis Infections in Infants and Children Meningitis is a swelling (inflammation) of the tissues that cover the brain and spinal cord. Sometimes, the swelling affects the brain. Meningitis can be caused by medications, injuries, and conditions such as cancer and lupus, but the most common cause is infection.Trust your instincts and do not wait for all the symptoms to appear or until a rash develops. Symptoms of meningitis and sepsis include: a high temperature. cold hands and feet. vomiting. confusion. breathing quickly. muscle and joint pain. pale, mottled or blotchy skin (this may be harder to see on brown or black skin)Meningitis can occur in people of all ages, but babies, children, and those with a weakened immune system are at the highest risk. Babies between birth and 1 month of age are more likely to ...Meningitis can occur in people of all ages, but babies, children, and those with a weakened immune system are at the highest risk. Babies between birth and 1 month of age are more likely to ...Meningitis is a disease caused by an inflammation of the meninges, the membranes that surround the brain and spinal cord. It's usually caused by a virus, although it can be caused by bacteria, a fungus, or tuberculosis. Treatment for meningitis depends on the specific cause of the disease. Vaccinations can prevent or minimize the incidence of ... May 22, 2023 · To help comfort your baby, you can: give them a cuddle; offer them extra cool drinks (if you're breastfeeding, your child may feed more often) take them for a walk in the fresh air; If the injection site is red, swollen or tender, put a clean cold cloth to the area for about 5 to 10 minutes – this may help to soothe your baby. After the MMR ... Sep 15, 2022 · About 2,000 cases of serious disease (bacteremia, pneumonia with bacteremia, and meningitis) occur each year in children under 5 years old in the United States. These illnesses can lead to disabilities like deafness, brain damage, or loss of arms or legs. About 1 out of 12 children who get pneumococcal meningitis dies. Meningitis is an inflammation of the meninges (the membrane covering the brain and spinal cord). Meningitis is caused by either a bacterial infection or a viral infection. Bacterial meningitis can get worse very quickly. If your child is showing signs of meningitis, seek immediate medical attention. Most people recover from meningitis, although ... Herpes meningoencephalitis is an infection of the brain and brain covering (meninges) caused by the herpes simplex virus. It is a medical emergency that requires treatment right away. Symptoms can include headache, fever, changes in consciousness, confusion, neck stiffness, sensitivity to light, seizures, and changes in mood, personality, or ...Meningococcal meningitis and bloodstream infections can be very serious, even deadly. The infections progress quickly. Someone can go from being healthy to very ill in 48 hours or less. Even if they get treatment, about 10 to 15 in 100 people with meningococcal disease will die from it.Meningitis In Babies. Meningitis is an inflammation of the meninges, which is the tissue that surrounds and protects the brain and spinal cord. It’s most commonly caused by viral or bacterial infections. Meningitis is a serious condition that, left untreated, can be fatal in a short period of time and can cause life-altering complications in ... Dec 30, 2022 · Specific Immunization Reactions. Pain or swelling at the shot site for 1 to 2 days. (20% of children) Mild fever lasting 1 to 3 days begins 14 to 28 days after the shot (10%). Give acetaminophen or ibuprofen for fever over 102° F (39°C). Never give aspirin for fever, pain or within 6 weeks of getting the shot. Oct 19, 2021 · sensitivity to light. confusion. seizures, or fits. Although fever is one of the most telling signs of meningitis, it is often absent in babies younger than 3 months old. Babies and toddlers may ... Bacterial meningitis is a devastating infection associated with high mortality and morbidity in the neonatal population. Prompt diagnosis and treatment are essential to achieving good outcomes in affected infants. While overall incidence and mortality have declined over the last several decades, morbidity associated with neonatal meningitis ... What causes meningitis in a child? Meningitis is most often caused by a bacterial or viral infection that moves into the cerebral spinal fluid (CSF). CSF is the fluid that protects and cushions the brain and spinal cord. A fungus or parasite may also cause meningitis. This is more common only in children with a weak immune system.May 1, 2003 · Neonatal meningitis is an uncommon but serious disease, with an incidence of 0.1–0.4 per 1000 live births. 1, 2 It can have severe long term sequelae in 12–29% of survivors, 2– 8 and milder impairment of neurological function occurs in another 15–38%. 3– 5, 8 Cognitive impairment has been shown in some follow up studies of neonatal ... Signs and symptoms in people over the age of 2 may include: High fever that comes on suddenly. Stiff neck. Severe headache that seems unusual. Headache with nausea or vomiting. Confusion or ...Younger kids will need a vaccine if they're at a greater risk of getting meningitis because they: Have complement component deficiency, a rare immune system disease. Have spleen damage or had ... Mar 22, 2022 · Meningitis in children. Meningitis becomes more common in children as they grow older and reach high school and college ages. Symptoms of viral and bacterial meningitis in children are similar to ... Meningitis in children. Meningitis becomes more common in children as they grow older and reach high school and college ages. Symptoms of viral and bacterial meningitis in children are similar to ...Jun 26, 2023 · Babies are at high risk of bacterial meningitis and often have symptoms that mimic other illnesses. Parents should be on the lookout for meningitis symptoms such as high fever, stiff neck, rigid extremities, vomiting, diarrhea, or a skin rash with lots of pinpoint-sized dots ( petechiae ) that are associated with invasive meningococcal disease . An overview of immunizations for kids ages 4 to 6 years old. DTaP – The fifth and final diphtheria, tetanus and pertussis vaccine is recommended when your child is between 4 and 6 years old. IPV – The poliovirus vaccine is another four-dose series. The dosing schedule for the polio vaccine recommends the first shots at 2 months, 4 months ...Sep 21, 2021 · In infants, illness caused by group B strep can be within six hours of birth (early onset) — or weeks or months after birth (late onset). Signs and symptoms might include: Fever. Low body temperature. Difficulty feeding. Sluggishness, limpness or weak muscle tone. Difficulty breathing. Irritability. Jitteriness. Children are at a higher risk of meningitis caused by a bacterial or viral infection. Children more likely to get the illness include: Newborns and babies (Because their immune systems are not well developed, the bacteria can get into the bloodstream more easily.) Children with frequent sinus infections Viral meningitis is caused by viruses found in saliva, blood, nose drainage, and bowel movements. The virus is spread from an infected person to another through coughing, kissing, or sharing food or drinks. Your child may also get a type of viral meningitis if he or she is bitten by a mosquito that carries the West Nile virus.Pregnant women who are at increased risk for serogroup A, C, W, or Y meningococcal disease may get MenACWY vaccines. Pregnant or breastfeeding women who are at increased risk for serogroup B meningococcal disease may get MenB vaccines. However, they should talk with a doctor to decide if the benefits of getting the vaccine outweigh the risks ... Pregnant women who are at increased risk for serogroup A, C, W, or Y meningococcal disease may get MenACWY vaccines. Pregnant or breastfeeding women who are at increased risk for serogroup B meningococcal disease may get MenB vaccines. However, they should talk with a doctor to decide if the benefits of getting the vaccine outweigh the risks ...Meningitis is an infection of the protective membranes that surround the brain and spinal cord (meninges). It can affect anyone, but is most common in babies, young children, teenagers and young adults. Meningitis can be very serious if not treated quickly. It can cause life-threatening blood poisoning (septicaemia) and result in permanent ...Dec 22, 2022 · It might surprise you how quickly your baby is picking up new skills. Infant development milestones for a 7- to 9-month-old include sitting, standing and laughing. As your baby becomes more mobile and curious, infant development takes off. It might seem that your baby learns something new every day. Aug 17, 2021 · Abstract. Group B streptococcus (GBS) infection remains a leading cause of sepsis, pneumonia, and meningitis in infants. Rates of GBS early onset disease have declined following the widcespread use of intrapartum antibiotic prophylaxis; hence, late-onset infections (LOGBS) are currently a common presentation of neonatal GBS dicsease. Apr 27, 2023 · Child and Adolescent Immunization Schedule by Age. Recommendations for Ages 18 Years or Younger, United States, 2023. Print. Please see the most up-to-date COVID-19 vaccine recommendations and new or updated recommendations for RSV , Influenza, pneumococcal, polio, and Mpox vaccines. These have been adopted by the CDC Director and are official. Side effects linked to the vaccines are usually mild and tend to go away within a few days. Herd immunity is unlikely to prevent meningitis, so it is essential that people get vaccinated and have ...Viral meningitis is the most common type, but it’s not usually life-threatening. The enteroviruses that cause meningitis can spread through direct contact with saliva, nasal mucus, or feces ...Children can develop meningitis from close contact with a person who has the infection or through surfaces and inanimate objects infected with the germ that causes meningitis. A simple cold or...Meningococcal bacteria. Meningococcal disease is caused by the bacterium Neisseria meningitidis. There are several different groups of meningococcal bacteria including groups A, B, C, Y and W (previously called W135). These groups of bacteria can be further divided into specific strains. Most cases in New Zealand are caused by group B.Meningococcal meningitis and bloodstream infections can be very serious, even deadly. The infections progress quickly. Someone can go from being healthy to very ill in 48 hours or less. Even if they get treatment, about 10 to 15 in 100 people with meningococcal disease will die from it.Trust your instincts and do not wait for all the symptoms to appear or until a rash develops. Symptoms of meningitis and sepsis include: a high temperature. cold hands and feet. vomiting. confusion. breathing quickly. muscle and joint pain. pale, mottled or blotchy skin (this may be harder to see on brown or black skin)Child and Adolescent Immunization Schedule by Age. Recommendations for Ages 18 Years or Younger, United States, 2023. Print. Please see the most up-to-date COVID-19 vaccine recommendations and new or updated recommendations for RSV , Influenza, pneumococcal, polio, and Mpox vaccines. These have been adopted by the CDC Director and are official.Signs and symptoms of meningitis include: fever. a severe headache. nausea. stiff neck. sensitivity to light. Meningitis often occurs due to pathogens such as viruses, bacteria, and fungi, and so ...Neonatal meningitis is a serious medical condition in infants that is rapidly fatal if untreated. Meningitis is an inflammation of the meninges , the protective membranes of the central nervous system , is more common in the neonatal period (infants less than 44 days old) than any other time in life, and is an important cause of morbidity and ... To help comfort your baby, you can: give them a cuddle; offer them extra cool drinks (if you're breastfeeding, your child may feed more often) take them for a walk in the fresh air; If the injection site is red, swollen or tender, put a clean cold cloth to the area for about 5 to 10 minutes – this may help to soothe your baby. After the MMR ...Jun 15, 2022 · Meningitis can occur in people of all ages, but babies, children, and those with a weakened immune system are at the highest risk. Babies between birth and 1 month of age are more likely to ... Serogroup B meningococcal vaccines, such as Bexero or Trumenba. All children should be vaccinated at 11 or 12 with one of the conjugate vaccines, with a booster dose at age 16. As for the serogroup B vaccine, teens should definitely get it if. they have a complement deficiency (this is something that is generally diagnosed by the teenage years).Among adults 60 years of age and older, the more common signs and symptoms of hydrocephalus are: Loss of bladder control or a frequent urge to urinate. Memory loss. Progressive loss of other thinking or reasoning skills. Difficulty walking, often described as a shuffling gait or the feeling of the feet being stuck.Mar 16, 2022 · Serogroup B meningococcal vaccines, such as Bexero or Trumenba. All children should be vaccinated at 11 or 12 with one of the conjugate vaccines, with a booster dose at age 16. As for the serogroup B vaccine, teens should definitely get it if. they have a complement deficiency (this is something that is generally diagnosed by the teenage years). Summary. Herpes meningitis is a type of viral meningitis resulting from infection with a herpes virus. Three types of herpes virus can cause HM: herpes simplex virus 1, herpes simplex virus 2, and ...How is meningitis diagnosed in a child? Lumbar puncture (spinal tap). This is the only test that diagnoses meningitis. A needle is placed into the lower back, into the spinal canal. This is ... Blood tests. These can help diagnose infections that cause meningitis. CT scan or MRI. These are tests ... Severe viral meningitis may also be treated in hospital. Treatments include: antibiotics given directly into a vein. fluids given directly into a vein to prevent dehydration. oxygen through a face mask if there are any breathing difficulties. steroid medication to help reduce any swelling around the brain, in some cases. People with meningitis ... Neonatal meningitis is a serious medical condition in infants that is rapidly fatal if untreated. Meningitis is an inflammation of the meninges , the protective membranes of the central nervous system , is more common in the neonatal period (infants less than 44 days old) than any other time in life, and is an important cause of morbidity and ...Bacterial meningitis in newborns usually results from an infection of the blood ( sepsis ). The infection is most commonly caused by the following bacteria: Group B streptococci Escherichia coli Listeria monocytogenes A number of other bacteria may cause meningitis as well. Having convulsions (seizure) Babies who get group B strep a week or so after birth may have signs such as: Decreased movement of an arm or leg. Pain with movement of an arm or leg. Breathing problems. Fever. Red area on the face or other part of the body. Pregnant women may have group B strep without symptoms.purple-red skin rash or bruising. pale or blotchy skin. seizures (fits) The most common symptoms of meningitis in older children and adults are: fever. sensitivity to light. very bad headache and stiff or sore neck. nausea or vomiting and loss of appetite. tiredness and drowsiness. Neonatal meningitis is an uncommon but serious disease, with an incidence of 0.1–0.4 per 1000 live births. 1, 2 It can have severe long term sequelae in 12–29% of survivors, 2– 8 and milder impairment of neurological function occurs in another 15–38%. 3– 5, 8 Cognitive impairment has been shown in some follow up studies of neonatal ...Mar 1, 2023 · Enteroviruses can be spread when an infected person sneezes or coughs droplets into the air or on surfaces. A child may then breathe in droplets or touch a contaminated surface and touch their eyes, mouth, or nose. The viruses are treated with supportive care, such as fever or pain medicine, rest, and fluids. Summary. Herpes meningitis is a type of viral meningitis resulting from infection with a herpes virus. Three types of herpes virus can cause HM: herpes simplex virus 1, herpes simplex virus 2, and ...Early symptoms will be similar to the flu, and they can develop over a matter of hours or even days. Symptoms include: sudden high fever. stiff neck. severe headache. nausea or vomiting. confusion ...Meningitis can occur in people of all ages, but babies, children, and those with a weakened immune system are at the highest risk. Babies between birth and 1 month of age are more likely to ...Specific Immunization Reactions. Pain or swelling at the shot site for 1 to 2 days. (20% of children) Mild fever lasting 1 to 3 days begins 14 to 28 days after the shot (10%). Give acetaminophen or ibuprofen for fever over 102° F (39°C). Never give aspirin for fever, pain or within 6 weeks of getting the shot.get plenty of rest; take painkillers for a headache or general aches; take anti-sickness medicine for any nausea or vomiting; If you feel unable to manage your symptoms at home or you feel worse, get further medical help. Preventing the spread of infection. The risk of someone with meningitis spreading the infection to others is generally low.Apr 28, 2021 · Side effects linked to the vaccines are usually mild and tend to go away within a few days. Herd immunity is unlikely to prevent meningitis, so it is essential that people get vaccinated and have ... How meningitis is spread. The viruses and bacteria that cause meningitis can be spread through: sneezing. coughing. kissing. The infection is usually spread by people who carry these viruses or bacteria in their nose or throat, but are not ill themselves. The infection can also be spread by someone with meningitis, although this is less common.Meningococcal bacteria. Meningococcal disease is caused by the bacterium Neisseria meningitidis. There are several different groups of meningococcal bacteria including groups A, B, C, Y and W (previously called W135). These groups of bacteria can be further divided into specific strains. Most cases in New Zealand are caused by group B. May 1, 2003 · Neonatal meningitis is an uncommon but serious disease, with an incidence of 0.1–0.4 per 1000 live births. 1, 2 It can have severe long term sequelae in 12–29% of survivors, 2– 8 and milder impairment of neurological function occurs in another 15–38%. 3– 5, 8 Cognitive impairment has been shown in some follow up studies of neonatal ... Pneumococcal disease can cause infections of the ears, lungs, blood, and brain. Pneumococcal disease is an illness caused by bacteria called pneumococcus. It is often mild, but can cause serious symptoms, lifelong disability, or death. Children younger than 2 years old are among those most at risk for the disease.Two serious bacterial infections in a two-year period (meningitis, blood infection, or pneumonia) Swelling of the parotid gland (salivary glands located in front of the ear) Oral thrush that lasts for more than two months. A yeast infection that occurs in the digestive track or lungs. Constant or recurring sinus infections. Constant or ...Apr 28, 2021 · Side effects linked to the vaccines are usually mild and tend to go away within a few days. Herd immunity is unlikely to prevent meningitis, so it is essential that people get vaccinated and have ... Sep 15, 2022 · About 2,000 cases of serious disease (bacteremia, pneumonia with bacteremia, and meningitis) occur each year in children under 5 years old in the United States. These illnesses can lead to disabilities like deafness, brain damage, or loss of arms or legs. About 1 out of 12 children who get pneumococcal meningitis dies. Bacterial meningitis is a devastating infection associated with high mortality and morbidity in the neonatal population. Prompt diagnosis and treatment are essential to achieving good outcomes in affected infants. While overall incidence and mortality have declined over the last several decades, morbidity associated with neonatal meningitis ... Meningitis In Babies. Meningitis is an inflammation of the meninges, which is the tissue that surrounds and protects the brain and spinal cord. It’s most commonly caused by viral or bacterial infections. Meningitis is a serious condition that, left untreated, can be fatal in a short period of time and can cause life-altering complications in ...Having convulsions (seizure) Babies who get group B strep a week or so after birth may have signs such as: Decreased movement of an arm or leg. Pain with movement of an arm or leg. Breathing problems. Fever. Red area on the face or other part of the body. Pregnant women may have group B strep without symptoms. Causes Several types of bacteria can cause meningitis. Leading causes in the United States include Streptococcus pneumoniae Group B Streptococcus Neisseria meningitidis Haemophilus influenzae Listeria monocytogenes Escherichia coliAlmost half of neonatal sepsis survivors return to the hospital at least once after recovery. Some babies develop an infection of the membranes surrounding their brain called meningitis. Newborns who have this condition may develop serious symptoms and side effects, including: Extreme sluggishness (lethargy).Meningitis in newborns can be either early or late onset. Early onset occurs within the first week after birth for babies born at term, and in the first 72 hours of life for those born preterm ...get plenty of rest; take painkillers for a headache or general aches; take anti-sickness medicine for any nausea or vomiting; If you feel unable to manage your symptoms at home or you feel worse, get further medical help. Preventing the spread of infection. The risk of someone with meningitis spreading the infection to others is generally low.Prevention. Treatment. Bacterial meningitis is inflammation of the layers of tissue surrounding the brain and spinal cord (meninges) caused by bacteria . Newborns with bacterial meningitis are usually irritable, vomit, or may have seizures. The diagnosis is based on the results of a spinal tap and blood tests.
Feb 26, 2018 · Protecting newborns Seeing a doctor Meningitis is a condition that causes inflammation in the meninges, which protect the brain and spinal cord. Meningitis is most often caused by a virus or... . Pico question examples women
Jun 21, 2021 · through feces, saliva, nasal mucus, sputum, and blister fluid. Epstein-Barr virus: This virus can spread. Trusted Source. through bodily fluids such as saliva. A person can also get it after organ ... Jul 6, 2023 · Meningitis during the neonatal period is a potentially devastating condition with dire long-term consequences. Despite advances in preventive and critical care medicine, bacterial meningitis continues to have an adverse outcome rate of 20 to 60% among its survivors.[1] Although the incidence and mortality have declined over the past few decades, it remains challenging to diagnose due to ... Disease can be localized to skin, eye and mouth (SEM disease), involve the central nervous system (CNS) or manifest as disseminated infection involving multiple organs. Most surviving infants in the latter two categories have neurological sequelae, and the mortality rate in the absence of therapy is very high (80%) for babies in the latter ...Signs and symptoms of meningitis include: fever. a severe headache. nausea. stiff neck. sensitivity to light. Meningitis often occurs due to pathogens such as viruses, bacteria, and fungi, and so ...The baby was born with Apgar scores of 6 and 8 at 1 and 5 minutes, respectively. Her birth weight was 2.8 kg with a head circumference of 43.5 cm (>99th percentile). Her exam was notable for macrocephaly with bulging fontanelles, large bilateral cleft lip/palate, nasal encephalocele, and bilateral microphthalmia.Feb 27, 2018 · Viral meningitis is the most common type, but it’s not usually life-threatening. The enteroviruses that cause meningitis can spread through direct contact with saliva, nasal mucus, or feces ... Among adults 60 years of age and older, the more common signs and symptoms of hydrocephalus are: Loss of bladder control or a frequent urge to urinate. Memory loss. Progressive loss of other thinking or reasoning skills. Difficulty walking, often described as a shuffling gait or the feeling of the feet being stuck.Jun 15, 2023 · Meningitis is an infection of the protective membranes that surround the brain and spinal cord (meninges). It can affect anyone, but is most common in babies, young children, teenagers and young adults. Meningitis can be very serious if not treated quickly. It can cause life-threatening blood poisoning (septicaemia) and result in permanent ... Spread to others. People spread meningococcal bacteria to other people by sharing respiratory and throat secretions (saliva or spit). Generally, it takes close (for example, coughing or kissing) or lengthy contact to spread these bacteria. Fortunately, they are not as contagious as germs that cause the common cold or the flu. Two serious bacterial infections in a two-year period (meningitis, blood infection, or pneumonia) Swelling of the parotid gland (salivary glands located in front of the ear) Oral thrush that lasts for more than two months. A yeast infection that occurs in the digestive track or lungs. Constant or recurring sinus infections. Constant or ... The MenB vaccine will protect your baby against infection by meningococcal group B bacteria. These bacteria are responsible for about 9 in every 10 meningococcal infections in young children. Meningococcal infections can be very serious, causing meningitis and sepsis. This can lead to severe brain damage, amputations and, sometimes, death.May 22, 2023 · To help comfort your baby, you can: give them a cuddle; offer them extra cool drinks (if you're breastfeeding, your child may feed more often) take them for a walk in the fresh air; If the injection site is red, swollen or tender, put a clean cold cloth to the area for about 5 to 10 minutes – this may help to soothe your baby. After the MMR ... Bacterial meningitis is a devastating infection associated with high mortality and morbidity in the neonatal population. Prompt diagnosis and treatment are essential to achieving good outcomes in affected infants. While overall incidence and mortality have declined over the last several decades, morbidity associated with neonatal meningitis ...Stiff neck. Other symptoms that can occur with this disease: Agitation. Bulging fontanelles in babies. Decreased alertness. Poor feeding or irritability in children. Rapid breathing. Unusual posture, with the head and neck arched backward (opisthotonos) You cannot tell if you have bacterial or viral meningitis by how you feel.Disease can be localized to skin, eye and mouth (SEM disease), involve the central nervous system (CNS) or manifest as disseminated infection involving multiple organs. Most surviving infants in the latter two categories have neurological sequelae, and the mortality rate in the absence of therapy is very high (80%) for babies in the latter ... Having convulsions (seizure) Babies who get group B strep a week or so after birth may have signs such as: Decreased movement of an arm or leg. Pain with movement of an arm or leg. Breathing problems. Fever. Red area on the face or other part of the body. Pregnant women may have group B strep without symptoms..
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