Meningite bacteriana. Uma etiologia pouco frequente.
Meningitis is an uncommon clinical manifestation of invasive infection by Streptococcus pyogenes.A four years-old female child, previously healthy, started a history of high fever, associated to right otorrhea, prostration and vomiting. On admission she was haemodynamically stable but prostrated, wi...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ordem dos Médicos
2011-12-01
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| Series: | Acta Médica Portuguesa |
| Online Access: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1553 |
| _version_ | 1817979978076127232 |
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| author | Sílvia Bacalhau Maria Manuel Zarcos Teresa Rezende |
| author_facet | Sílvia Bacalhau Maria Manuel Zarcos Teresa Rezende |
| author_sort | Sílvia Bacalhau |
| collection | DOAJ |
| description | Meningitis is an uncommon clinical manifestation of invasive infection by Streptococcus pyogenes.A four years-old female child, previously healthy, started a history of high fever, associated to right otorrhea, prostration and vomiting. On admission she was haemodynamically stable but prostrated, with stiff neck and right otorrhea. Laboratory evaluation showed leukocytosis with neutrophilia, thrombocytosis and high C-reactive protein. The cerebrospinal fluid (CSF) examination suggested bacterial meningitis and treatment with ceftriaxone was started. After Streptococcus pyogenes grew in the CSF, clindamycin was added. She completed 15 days of antibiotics and was discharged clinically recovered. No neurological or hearing sequelae were observed.Although the incidence of group A streptococcal meningitis seems to be low, invasive infection by this agent is raising. Despite the excellent evolution of this case, a fatal outcome or neurological sequelae can arise, even in healthy children. |
| first_indexed | 2024-04-13T22:48:51Z |
| format | Article |
| id | doaj.art-f01cef3936dc4da79a2311713c2cce0c |
| institution | Directory Open Access Journal |
| issn | 0870-399X 1646-0758 |
| language | English |
| last_indexed | 2024-04-13T22:48:51Z |
| publishDate | 2011-12-01 |
| publisher | Ordem dos Médicos |
| record_format | Article |
| series | Acta Médica Portuguesa |
| spelling | doaj.art-f01cef3936dc4da79a2311713c2cce0c2022-12-22T02:26:17ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582011-12-012410.20344/amp.1553Meningite bacteriana. Uma etiologia pouco frequente.Sílvia Bacalhau0Maria Manuel ZarcosTeresa RezendeServiço de Pediatria, Hospital Santo André, Leiria, Portugal.Meningitis is an uncommon clinical manifestation of invasive infection by Streptococcus pyogenes.A four years-old female child, previously healthy, started a history of high fever, associated to right otorrhea, prostration and vomiting. On admission she was haemodynamically stable but prostrated, with stiff neck and right otorrhea. Laboratory evaluation showed leukocytosis with neutrophilia, thrombocytosis and high C-reactive protein. The cerebrospinal fluid (CSF) examination suggested bacterial meningitis and treatment with ceftriaxone was started. After Streptococcus pyogenes grew in the CSF, clindamycin was added. She completed 15 days of antibiotics and was discharged clinically recovered. No neurological or hearing sequelae were observed.Although the incidence of group A streptococcal meningitis seems to be low, invasive infection by this agent is raising. Despite the excellent evolution of this case, a fatal outcome or neurological sequelae can arise, even in healthy children.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1553 |
| spellingShingle | Sílvia Bacalhau Maria Manuel Zarcos Teresa Rezende Meningite bacteriana. Uma etiologia pouco frequente. Acta Médica Portuguesa |
| title | Meningite bacteriana. Uma etiologia pouco frequente. |
| title_full | Meningite bacteriana. Uma etiologia pouco frequente. |
| title_fullStr | Meningite bacteriana. Uma etiologia pouco frequente. |
| title_full_unstemmed | Meningite bacteriana. Uma etiologia pouco frequente. |
| title_short | Meningite bacteriana. Uma etiologia pouco frequente. |
| title_sort | meningite bacteriana uma etiologia pouco frequente |
| url | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1553 |
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