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Group B Streptococcal Infection in Children with Liver Disease

Case 1. This 8-year-old black female had hyperthyroidism, which was treated with propylthiouracil (PTU) from March 1979. Seven months later, while taking 50 mg PTU three times a day, she developed abdominal pain, vomiting, and jaundice. She was admitted to a local hospital with a diagnosis of hepatitis. PTU was discontinued. Two weeks after admission, she developed increased vomiting, tremor, and inappropriate behavior. She was transferred to Texas Children’s Hospital, where she was noted to have an elevated serum