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Published on: September 11, 2020
Streptococcus pyogenes meningitis in children: report of two cases and literature review
Mariana V Arnoni1, Eitan N Berezin, Marco A P Sáfadi
1Pediatric Infectious Diseases Service, Santa Casa de São Paulo Hospital, São Paulo, SP, Brazil. volpearnoni@uol.com.br
Abstract:
Streptococcus pyogenes meningitis (SPM) occurs sporadically, even with the increase of invasive streptococcal disease observed in the past years. We reported two cases of SPM in infants to alert pediatricians for the possibility of this agent as a cause of meningitis in previously healthy children.
Insights
Streptococcus pyogenes meningitis (SPM) is rare but increasing. Pediatricians should consider SPM in infants with meningitis, even if previously healthy.
Area of Science:
- Pediatric Infectious Diseases
- Bacterial Meningitis Pathogenesis
Background:
- Streptococcus pyogenes is a significant human pathogen.
- Invasive streptococcal diseases have shown an increasing trend.
- Meningitis remains a serious concern in pediatric populations.
Observation:
- Two cases of Streptococcus pyogenes meningitis (SPM) in infants are presented.
- These infants were previously healthy, highlighting a potential diagnostic challenge.
- The sporadic occurrence of SPM contrasts with the rising incidence of invasive streptococcal infections.
Findings:
- Streptococcus pyogenes can cause meningitis in infants.
- Early recognition and diagnosis are crucial for effective management.
- This agent should be considered in the differential diagnosis of infant meningitis.
Implications:
- Alerts pediatricians to a less common but serious cause of meningitis.
- Emphasizes the need for vigilance regarding Streptococcus pyogenes infections in infants.
- Contributes to understanding the epidemiology of bacterial meningitis in young children.
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