Streptococcus pyogenes Meningitis in a Pediatric Patient: Case Report

Authors

  • Lara Torres Pediatrics Department. Hospital de Sousa Martins. Unidade Local Saúde da Guarda. Guarda.
  • Alexandra M. Rodrigues Pediatrics Department. Hospital de Sousa Martins. Unidade Local Saúde da Guarda. Guarda.
  • Catarina Francisco Pediatrics Department. Hospital de Sousa Martins. Unidade Local Saúde da Guarda. Guarda.
  • Sónia Santos Pediatrics Department. Hospital de Sousa Martins. Unidade Local Saúde da Guarda. Guarda.
  • Pedro Carvalho Pediatrics Department. Hospital de Sousa Martins. Unidade Local Saúde da Guarda. Guarda.

DOI:

https://doi.org/10.20344/amp.19941

Keywords:

Child, Meningitis, Bacterial, Streptococcal Infections, Streptococcus pyogenes

Abstract

Streptococcus pyogenes causes a wide spectrum of diseases in children. However, meningitis due to this pathogen is highly uncommon. Although rare, it is associated with a high case fatality rate and can result in severe neurological sequelae. We report a case of Streptococcus pyogenes meningitis in a previously healthy 3-year-old boy. The purpose of this case report is to emphasize that this agent should be considered a cause of meningitis in previously healthy infants because of its frequent association with complications, sequelae, and high mortality rates.

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References

de Almeida Torres L, Fedalto E, de Almeida Torres F, Steer C, Smeesters R. Group A streptococcus meningitis in children. Pediatr Infect Dis J. 2013;32:110-4. DOI: https://doi.org/10.1097/INF.0b013e31826fd4af

Link-Gelles R, Toews A, Schaffner W, Edwards M, Wright C, Beall B, et al. Characteristics of intracranial group a streptococcal infections in US children, 1997-2014. J Pediatric Infect Dis Soc. 2019;9:30-5. DOI: https://doi.org/10.1093/jpids/piy108

Perera N, Abulhoul L, Green R, Swann A. Group A streptococcal meningitis: case report and review of the literature. J Infect. 2005;51:E1. DOI: https://doi.org/10.1016/j.jinf.2004.06.006

Arnoni V, Berezin N, Sáfadi P, Almeida J, Lopes C. Streptococcus pyogenes meningitis in children: report of two cases and literature review. Braz J Infect Dis. 2017;11:375-7. DOI: https://doi.org/10.1590/S1413-86702007000300015

Randhawa E, Woytanowski J, Sibliss K, Sheffer I. Streptococcus pyogenes and invasive central nervous system infection. SAGE Open Med Case Rep. 2018;6:2050313X1877558. DOI: https://doi.org/10.1177/2050313X18775584

Lee J, Blackburn J, Pham-Huy A. Uncommon clinical presentation of a common bug: Group A streptococcus meningitis. Paediatr Child Health. 2021;26:E129-31. DOI: https://doi.org/10.1093/pch/pxaa065

Fanella S, Embree J. Group A streptococcal meningitis in a pediatric patient. Can J Infect Dis Med Microbiol. 2008;19:306-8. DOI: https://doi.org/10.1155/2008/594583

Baraldés A, Domingo P, Mauri A, Monmany J, Castellanos M, Pericas R, et al. Group A streptococcal meningitis in the antibiotic era. Eur J Clin Microbiol Infect Dis. 1999;18:572-8. DOI: https://doi.org/10.1007/s100960050349

Brouwer M, Mcintyre P, Prasad K, van de Beek D. Corticosteroids for acute bacterial meningitis. Cochrane Database Syst Rev. 2015;9:CD004405. DOI: https://doi.org/10.1002/14651858.CD004405.pub5

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Published

2023-07-05

How to Cite

1.
Torres L, M. Rodrigues A, Francisco C, Santos S, Carvalho P. Streptococcus pyogenes Meningitis in a Pediatric Patient: Case Report. Acta Med Port [Internet]. 2023 Jul. 5 [cited 2024 Apr. 22];37(2):142-4. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19941

Issue

Section

Case Report