Serious Group A streptococcal diseases in children

Burech, Dennis L.; Korányi, Katalin; Haynes, Ralph E.

doi:10.1016/s0022-3476(76)81052-9

Cited by 29 publications

(14 citation statements)

References 6 publications

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“…In a recent review, Chow et al [5] described two cases and reported on 19 cases documented in the English literature from the beginning of the 1980s. Before that review, several other patients had been reported [4,17,20,21,23,25,26], and since 1992 more than ten additional cases have been described, the majority of them in children [7±9, 11,14,16,18,24,27,29]. These case reports indicate that although not very common, GAS has to be considered as a cause of bacterial meningitis in childhood.…”

Section: Discussionmentioning

confidence: 98%

Streptococcus pyogenes meningitis: report of a case and review of the literature

Berner¹,

Herdeg²,

Gordjani³

et al. 2000

European Journal of Pediatrics

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Section: Discussionmentioning

confidence: 98%

Streptococcus pyogenes meningitis: report of a case and review of the literature

Berner¹,

Herdeg²,

Gordjani³

et al. 2000

European Journal of Pediatrics

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“…In reviews, meningitis due to GAS in adults has been described as a disease with relatively low mortality and morbidity rates [5,6]. This is in contrast to GAS meningitis in children, which has been described as a fulminant type of meningitis [5][6][7][8][9][10][11]. We studied the incidence and clinical features of GAS meningitis in a 14-year nationwide surveillance study in The Netherlands.…”

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confidence: 99%

Group A Streptococcal Meningitis in Adults: Report of 41 Cases and a Review of the Literature

et al. 2002

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Chart review of 41 adult patients with group A streptococcal (GAS) meningitis in The Netherlands revealed that this is a community-acquired disease and occurs mainly in patients with predisposing factors: of the 41 patients in this case series, 24 (60%) of 40 evaluable patients had otitis or sinusitis. Fever and neck stiffness were the most common clinical manifestations of disease, but, in addition, high rates of seizures (12 [32%] of 38 patients), focal neurological findings (13 [36%] of 36 patients), and hyponatremia (20 [58%] of 35 patients) were found. In contrast with data from the literature that describes 27 adult cases, we found that GAS meningitis is a fulminant disease with a mortality rate of 27% (10 of 37 patients), and that neurological sequelae occur in 36% (12 of 38) of surviving patients.

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“…The association between thoracic empyema due to Streptococcus pyogenes and scarlatiniform rash with acral desquamation has been noted occasionally[8-10], and we suggest that this association may help identify Streptococcus pyogenes as the etiologic agent, particularly when culture results are unavailable. The rash of scarlet fever with subsequent acral desquamation is associated not just with pharyngitis, but may also follow systemic infections with Streptococcus pyogenes in children, including pneumonia[9,11], bacteremia[12,13], septic arthritis[13], Streptococcal toxic shock syndrome[14], and necrotizing fasciitis and cellulitis[11]. Streptococcus pyogenes toxins responsible for the rash and desquamation are pyrogenic exotoxins produced by certain strains of the bacteria.…”

Section: Discussionmentioning

confidence: 99%