Superficial skin infection caused by Streptococcus pneumoniae in children

Nitza Newman1, Ron Dagan, Haim Reuveni

  • 1Department of Pediatric Surgery, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

Insights

Superficial skin infections caused by Streptococcus pneumoniae are uncommon. This report details three cases in healthy children, with one strain showing full penicillin resistance.

Area of Science:

  • Pediatric infectious diseases
  • Dermatology
  • Microbiology

Background:

  • Streptococcus pneumoniae, typically known for causing respiratory and invasive infections, is rarely implicated in superficial skin infections.
  • Superficial skin infections are common in pediatric populations, but specific etiological agents can vary.

Observation:

  • Three cases of superficial skin infections attributed to Streptococcus pneumoniae were observed in previously healthy children.
  • Lesions presented on facial skin in two children and on the scrotal raphe in one child.
  • Clinical presentation involved superficial skin manifestations rather than invasive disease.

Findings:

  • Microbiological analysis confirmed Streptococcus pneumoniae as the causative agent in all three cases.
  • One of the identified Streptococcus pneumoniae isolates exhibited full resistance to penicillin.
  • The infections were localized to the superficial layers of the skin.

Implications:

  • Highlights the potential for Streptococcus pneumoniae to cause rare superficial skin infections in children.
  • Underscores the importance of considering atypical presentations of pneumococcal infections.
  • The presence of penicillin-resistant strains necessitates careful antibiotic selection for treating these infections.

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