2011, Number 98
<< Back Next >>
Rev Enfer Infec Pediatr 2011; 24.25 (98)
Community-acquired pneumonia caused by Streptococcus pyogenes complicated with pleural effusion. Case report and literature review
Huerta MA, Gómez TV, Monroy CVA, de Colsa RA
Language: Spanish
References: 11
Page: 71-74
PDF size: 190.86 Kb.
ABSTRACT
Streptococcus pyogenes is an uncommon cause of community acquired pneumonia. It is rare in adults and is seen more frequently
in pediatric patients, in whom can cause lung parenchymal involvement and occasionally pleural purulent effusion. We
report a case of a two years old female patient, diagnosed with complex partial epilepsy and symptomatic community-acquired
pneumonia caused by
Streptococcus pyogenes (group A on Lancefield classification) complicated with pleural effusion. The
following description highlights the importance of considering
Streptococcus pyogenes as the causative agent of invasive
disease although this organism is an uncommon agent of community-acquired pneumonia, because it is a major cause of
morbidity and mortality in some cases with a fulminant clinical course.
REFERENCES
Barnham M, Weightman N, Anderson A, Pagan F, Chapman S. Review of 17 cases of Pneumonia caused by Streptococcus pyogenes. Eur J Clin Microbiol Infect Dis 1999;18:506-509.
Al-Kaabi N, Solh Z, Pacheco S, Murray L, Gaboury I, et al. A comparison of group A Streptococcus versus Streptococcus pneumoniae pneumonia. Pediatr Infect Dis J 2006;25:1008- 1012.
Kalima P, Riodan T. Necrotizing pneumonia associated with group A streptococcal bacteremia. Eur J Clin Microbiol Infect Dis 1998;17:296-298.
Eagle H. Experimental approach to the problem of treatment failure with penicillin Group A streptococcal infection in mice. Am J Med 1952;13:389-399.
Weiss K, Laverdiere M, Lovgren M, Delome J, Poinier J, et al. Group A Streptococcus carriage among close contacts of patients with invasive infections. Am J Epidemiol 1999;149:863-868.
Crum NF, Russell KL, Kaplan EL, Wallace MR, Wu J, et al. Pneumonia outbreak associated with group A Streptococcus species at military training facility. Clin Infect Dis 2005;40:511-518.
Demers B, Simor AE, Vellend H, Schlievert PM, Byme S, et al. Severe invasive group A streptococcal infections in Ontario, Canada 1987-1991. Clin Infect Dis 1993;16:792-800.
Bartlett JG. Approach to the patient with pneumonia. In: Gorbach SL, Bartlett JG, Blacklow NR, eds. Infectious diseases, 2nd Ed. Philadelphia: WB Saunders Company; 1998:533-564.
Birch C, Gowardman J. Streptococcus pyogenes: a forgotten cause of severe community-acquired pneumonia. Anaesth Intensive Care 2000;28:87-90.
Christie CD, Havens PL, Shapiro ED. Bacteriemia with group A streptococci in childhood. Am J Dis Child 1988;142:559-561.
Zurawshi CA, Bardsley M, Beall B, Elliott JA, Facklam R, et al. Invasive group A streptococcal disease in metropolitan Atlanta: a population-based assessment. Clin Infect Dis 1998;27:150-157.