Streptococcus agalactiae (Group B Strep)

Gram Gram-positive cocci in chains

Streptococcus agalactiae (Group B)

β-hemolytic, bacitracin-RESISTANT, CAMP +, hippurate + — the neonatal threat.

🎬 The Baby on Board
Group B = Babies; screen mom at 35–37 weeks
Scene illustration coming soon.
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Newborn

GROUP B = BABIES. Leading cause of neonatal meningitis, pneumonia, and sepsis.

🔗 B for Baby.

🔬 Identification

  • GPC in chains, catalase –.
  • β-hemolytic, bacitracin-RESISTANT.
  • CAMP test POSITIVE (arrowhead with S. aureus).
  • Hydrolyzes hippurate.

🦠 Disease

  • Neonatal meningitis, pneumonia, and sepsis (leading causes in newborns).
  • In adults: postpartum endometritis, UTI, diabetic skin/soft tissue infections.

🛡️ Prevention

  • Universal rectovaginal screening at 35–37 weeks gestation.
  • Intrapartum penicillin prophylaxis for colonized or high-risk mothers.

🧠 Mnemonics

Group B = Babiesagalactiae → neonatal meningitis/sepsis/pneumonia; "B" for baby.
CAMPs with a Baby, Bacitracin-resistantCAMP +, hippurate +, bacitracin-resistant identify group B.

🩺 Classic boards tip-off

Neonate (first week of life) with fever, lethargy, and meningitis → group B strep (or E. coli / Listeria).