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Varicella complicated by group A streptococcal facial cellulitis
J Santos-Juanes1, A Medina, A Concha
1Service of Dermatology II, Department of Pediatrics, Hospital Central de Asturias, University of Oviedo, Spain.
Journal of the American Academy of Dermatology
|October 19, 2001
Summary
A rise in severe group A beta-hemolytic streptococcal (GABHS) infections post-varicella is observed in children. Emergency physicians should monitor varicella patients for persistent fever and unusual symptoms, indicating this serious complication.
Area of Science:
- Pediatrics
- Infectious Diseases
- Microbiology
Background:
- Varicella (chickenpox) is a common childhood viral illness.
- Group A beta-hemolytic streptococcal (GABHS) infections can cause severe complications.
Observation:
- An increasing incidence of life-threatening GABHS infections has been noted in children recovering from varicella.
- A case is presented of a child requiring pediatric intensive care unit admission for a severe GABHS infection one week post-varicella.
Findings:
- The study highlights a significant association between recent varicella infection and subsequent severe GABHS disease in pediatric patients.
- Prompt recognition of GABHS infection as a complication of varicella is crucial.
Implications:
- Emergency physicians must maintain a high index of suspicion for GABHS infections in children with varicella who present with prolonged fever or atypical symptoms.
- Early diagnosis and treatment of GABHS infections can prevent severe morbidity and mortality in children post-varicella.