Extensive Cellulitis and Bacteremia Due to Streptococcus Pseudoporcinus in a Child With Klippel-Trenaunay Syndrome

Abstract

Streptococcus pseudoporcinus is a newly recognized β-hemolytic streptococcus, that is considered a rare pathogen in adults. Infections in children have not been reported. We describe a child with Klippel-Trenaunay syndrome that developed of S. pseudoporcinus cellulitis and bacteremia, which was difficult-to-treat, relapsed and required prolonged antibiotic courses. S. pseudoporcinus can cause invasive infection in children, especially in the presence of predisposing conditions.

Endocarditis with Streptococcus pseudoporcinus Associated with Mastocytosis and Spondylodiscitis—A Coincidental Association? A Case Report

“…Two cases of infective endocarditis have been reported in the literature [ 3 , 4 ], a case of pneumonia complicated with empyema associated with Prevotella oris [ 3 ], and a case of bacteremia in an immunosuppressed patient with syphilis and HIV co-infections [ 5 ]. Vergadi et al report a difficult-to-treat case of cellulitis associated with bacteremia in a pediatric patient with Klippel-Trenaunay syndrome [ 6 ], Liatsos et al report spontaneous peritonitis in a patient with liver cirrhosis with unfavorable outcome [ 7 ], and more recently, Dong et al describe a case of orbital cellulitis resulting in corneal perforation, that required both antibiotic therapy and surgical intervention [ 8 ].…”