Group A streptococcal meningitis as a complication of an infected capillary haemangioma

Rezvani, Majid; Yager, Jerome Y.; Hartfield, Dawn

doi:10.1007/s00431-003-1334-4

Cited by 7 publications

(5 citation statements)

References 8 publications

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“…Complications due to infection of the IH were observed in three cases. Two of them developed meningitis, 10,15 and in one case, 20 elbow movement was restricted due to contracture of the elbow.…”

Section: Discussionmentioning

confidence: 98%

“…Limited cases of infected IHs have been described in the literature (Table 2 ). 3 , 6 , 7 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 To provide a comprehensive overview of the various aspects of IHs, 14 relevant publications were summarized, considering their clinical presentations, demographic characteristics, location, diagnostic tests, and their results, treatments, and outcomes.…”

Section: Discussionmentioning

confidence: 99%

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Klebsiella pneumoniae‐infected hemorrhagic ulcerative infantile hemangioma: A rare complication

Abtahi‐Naeini,

Pourmahdi‐Boroujeni,

Alipour

et al. 2024

Clinical Case Reports

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Key Clinical MessageInfections in infantile hemangiomas (IHs) are generally limited, and only few cases have been reported. The rapid expansion of an ulcerated IH should raise concern for possible complications to monitor and provide immediate therapeutic interventions. This case highlights the importance of prompt treatment in large segmental IHs to prevent ulceration and related complications, including bleeding and superinfection.AbstractIH is a benign tumor proliferating during early infancy. While many IHs spontaneously resolve, complications like ulceration, bleeding, and potential damage to vital organs can occur, leading to pain, infection, and scarring. A 6‐month‐old girl with a previously treated IH on her left leg developed a Klebsiella‐infected ulcer at the site. The ulcer resulted from non‐standard treatments used before admission. Upon hospitalization, she was initially treated with cefepime and propranolol, but a week later, the wound culture revealed Klebsiella pneumoniae, prompting a switch to piperacillin/tazobactam. After successfully managing the infection and bleeding, the child was discharged in good condition with orders to continue treatment with propranolol for at least a year. This case highlights the potential of IHs to become infected even with uncommon germs such as Klebsiella and the importance of receiving appropriate medical care to prevent further complications.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Klebsiella pneumoniae‐infected hemorrhagic ulcerative infantile hemangioma: A rare complication

Abtahi‐Naeini,

Pourmahdi‐Boroujeni,

Alipour

et al. 2024

Clinical Case Reports

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“…Of these, 19 were reported in children younger than 18 years and 14 were reported in adults. [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] Most patients with GAS meningitis have an extra-meningeal primary focus of infection. 10,15,17,19,25,27 In a Dutch surveillance study, 78% of 41 adult patients had a predisposing illness; otitis media and sinusitis were found in 60% of cases.…”

Section: Discussionmentioning

confidence: 99%

“…10,15,17,19,25,27 In a Dutch surveillance study, 78% of 41 adult patients had a predisposing illness; otitis media and sinusitis were found in 60% of cases. Active predisposing conditions in some patients may predispose them to GAS meningitis, including varicella, 11 hemangioma, 18,22 necrotizing fasciitis, 22 erysipelas, 22 cystic gingival lesion, 10 and acquired immunodeficiency syndrome. 22,23 Head trauma, recent cochlear implantation, and ventriculoperitoneal shunt were also found in several patients with GAS meningitis.…”

Section: Discussionmentioning

confidence: 99%

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Fever and Stiff Neck

Phelps

Steele

2011

Clin Pediatr (Phila)

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Group A Streptococcal meningitis in children: a short case series and systematic review

Dou,

Li,

et al. 2024

Eur J Clin Microbiol Infect Dis

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Background Group A streptococcal(GAS) meningitis is a severe disease with a high case fatality rate. In the era of increasing GAS meningitis, our understanding about this disease is limited. Purpose To gain a better understanding about GAS meningitis. Methods Five new cases with GAS meningitis were reported. GAS meningitis related literatures were searched for systematic review in PUBMED and EMBASE. Case reports and case series on paediatric cases were included. Information on demographics, risk factors, symptoms, treatments, outcomes, and emm types of GAS was summarized. Results Totally 263 cases were included. Among 100 individuals, 9.9% (8/81) had prior varicella, 11.1% (9/81) had anatomical factors, and 53.2% (42/79) had extracranial infections. Soft tissue infections were common among infants (10/29, 34.5%), while ear/sinus infections were more prevalent in children ≥ 3 years (21/42, 50.0%). The overall case fatality rate (CFR) was 16.2% (12/74). High risk of death was found in patients with shock or systemic complications, young children(< 3 years) and cases related to hematogenic spread. The predominate cause of death was shock(6/8). Among the 163 patients included in case series studies, ear/sinus infections ranged from 21.4 to 62.5%, while STSS/shock ranged from 12.5 to 35.7%, and the CFR ranged from 5.9 to 42.9%. Conclusions A history of varicella, soft tissue infections, parameningeal infections and CSF leaks are important clinical clues to GAS in children with meningitis. Young children and hematogenic spread related cases need to be closely monitored for shock due to the high risk of death.

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Group A streptococcal meningitis as a complication of an infected capillary haemangioma

Abstract: Our experience of this infant, resulting in profound neurological morbidity suggests that group A Streptococcus can be a virulent organism in the young child and that capillary haemangiomas must be treated aggressively at the first sign of infection.

Cited by 7 publications

References 8 publications

Klebsiella pneumoniae‐infected hemorrhagic ulcerative infantile hemangioma: A rare complication

Klebsiella pneumoniae‐infected hemorrhagic ulcerative infantile hemangioma: A rare complication

Fever and Stiff Neck

Group A Streptococcal meningitis in children: a short case series and systematic review

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