Infectious Pseudoaneurysm Caused by Group A Streptococcus in a Child without Underlying Disease.
10.14776/piv.2017.24.3.183
- Author:
Kyoung Ha KIM
1
;
Hyunju LEE
;
Chi Eun OH
Author Information
1. Department of Pediatrics, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, the Republic of Korea. shine707@hanmail.net
- Publication Type:Case Report
- Keywords:
Streptococcus pyogenes;
Aneurysm, infected;
Scarlet fever;
Child
- MeSH:
Aneurysm, False*;
Aneurysm, Infected;
Anti-Bacterial Agents;
Bacteremia;
Child*;
Child, Preschool;
Diagnosis;
Exanthema;
Fever;
Humans;
Iliac Artery;
Leg;
Male;
Pediatrics;
Pharyngitis;
Scarlet Fever;
Streptococcus pyogenes;
Streptococcus*;
Thoracic Surgery
- From:Pediatric Infection & Vaccine
2017;24(3):183-187
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Group A streptococcus is a common cause of upper respiratory infection in children; however, it is a rare cause of pseudoaneurysm in pediatrics with only limited reports of cases associated with cardiac surgery and underlying disease. We report a case of infectious pseudoaneurysm of the right internal iliac artery caused by group A streptococcus in a previously healthy 5-year-old boy who presented with scarlet fever and group A streptococcal bacteremia. He was admitted to the hospital with fever, rash on the whole body, and sore throat, accompanied by severe leg pain. He was treated with surgical removal and antibiotics. Because a pseudoaneurysm may develop in children without vascularrelated underlying diseases, we should consider the possibility of this important clinical diagnosis in patients with scarlet fever.
