Septicemia and meningitis caused by group A streptococcus: A case report and literature review

Sara KOUARA 1, 2, Wiame GHAMMAD 1, 2, *, Selma BERRADA 1, 2, Mustapha MAHMOUD 1, 2 and Ghita YAHYAOUI 1, 2

1 Department of microbiology, University hospital center Hassan II of Fez, Morocco.
2 Faculty of Medicine and Pharmacy of Fez, University sidi mohamed ben abdellah, Morocco.
 
Research Article
International Journal of Life Science Research Archive, 2023, 04(01), 017-020.
Article DOI: 10.53771/ijlsra.2023.4.1.0156
Publication history: 
Received on 22 November 2022; revised on 02 January 2023; accepted on 04 January 2023
 
Abstract: 
The invasive diseases due to Streptococcus pyogenes are pretty rare infections especially in pediatrics. We present to you a case of a 13-year-old who was admitted in pediatric’s intensive care for a polytrauma, on his 4th day of hospitalization he developed a fever for which he had a cytobacteriological assay of the spinal fluid who was in favor of a bacterial meningitis with 61 white cells predominantly neutrophilic 81% and a positive direct examination and culture after 24-hour incubation. The blood cultures from 3 sets (5 bottles) were also positive after 24h incubation and all pointed out to β hemolytic colonies in favor of streptococcus that was identified afterwards with serogrouping and on an automaton proving the incrimination of streptococcus group A. A review of literature was then conducted to enlighten clinicians on this unusual but equally dangerous bacteria.
 
Keywords: 
Streptococcus pyogenes; Sptreptoccocus group A; Meningitis; Septicemia
 
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