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Wound cultures were taken in 343 episodes and 56 grew group A streptococci (GAS), 53 grew group G streptococci (GGS), 11 grew group C streptococci (GCS), and 153 grew Staphylococcus aureus.
Investigation revealed elevated inflammatory markers, blood cultures grew Group B Streptococcus and MRI showed a discitis at T11/12 consistent with infection.
A fourth child grew Group B Neisseria meningitidis on blood cultures and had clinical features of meningitis but did not have an LP.
One had CSF analysis consistent with purulent meningitis (WCC 112/ml, CSF/plasma glucose ratio 3%, protein 3.8 g/l) but did not have an organism identified on CSF PCR or blood culture; one was positive for Haemophilus influenzae type b on blood cultures and CSF PCR and the last patient (CSF WCC 632/ml) grew Group B Neisseria meningitidis on blood cultures but not on CSF PCR.
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