Group A beta-hemolytic Streptococcal Meningoencephalitis with Unilateral Hemiparesis.
- Author:
Ki Won KIM
1
;
Eu Gene SOON
;
Byung Ho CHA
;
Hae Yong LEE
;
Young UH
;
Sunjoo KIM
;
Jin Kyong CHUN
Author Information
1. Department of Pediatrics and Adolescent Medicine, Wonju Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea. jkchunped@yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Invasive group A streptococcal infection;
Coagulopathy;
Hemiparesis;
Children
- MeSH:
Adrenal Cortex Hormones;
Anti-Bacterial Agents;
Child;
Disseminated Intravascular Coagulation;
Fever;
Humans;
Lethargy;
Meningoencephalitis;
Paresis;
Penicillins;
Risk Factors;
Seizures;
Streptococcus;
Vomiting
- From:Korean Journal of Pediatric Infectious Diseases
2009;16(2):210-214
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Group A streptococcus (GAS) rarely causes meningoencephalitis in children without risk factors. A previously healthy 8 year-old child presented with lethargy, high fever, and vomiting. The clinical course was unusual including intractable seizures, disseminated intravascular coagulation (DIC), and left hemiparesis in spite of the appropriate and timely administration of antibiotics and corticosteroids. The microbiologic studies revealed that the pathogen was susceptible to penicillin and GAS M18 strains. This case showed the importance of the GAS vaccine in addition to appropriate antibiotics.
