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[Intracranial hemorrhage complicating acute disseminated staphylococcal disease in a child]
1Dept. of Pediatrics A, Soroka Medical Center, Beer Sheba.
Insights
Acute disseminated staphylococcal disease is a severe infection in children. Intracranial hemorrhage is a rare but serious complication, as seen in this case report.
Area of Science:
- Pediatrics
- Infectious Diseases
- Staphylococcal Infections
Background:
- Acute disseminated staphylococcal disease (ADSD) affects children under 15.
- It is a rapidly progressing, potentially fatal condition.
- Diagnosis requires infection at multiple sites and Staphylococcus aureus isolation.
Observation:
- A case of ADSD in an 11.5-year-old boy is presented.
- The patient had cellulitis, osteomyelitis, and endocarditis.
- Intracranial hemorrhage developed as a complication.
Findings:
- The boy survived the intracranial hemorrhage.
- He experienced mild residual hemiparesis.
- This is the first reported case of intracranial hemorrhage in ADSD.
Implications:
- Highlights the severe neurological complications of ADSD.
- Emphasizes the need for vigilance in diagnosing and managing ADSD.
- Suggests potential for long-term neurological sequelae.
Abstract:
Acute disseminated staphylococcal disease may develop in previously healthy children below the age of 15 years. It progresses rapidly and may cause death in a significant number. The diagnostic criteria are infection in 2 or more anatomical sites and isolation of a coagulase-positive Staphylococcus aureus from the blood or from a site of infection. We present an 11.5-year-old boy with disseminated staphylococcal disease with evidence of cellulitis, osteomyelitis and endocarditis. He developed intracranial hemorrhage as a complication and survived, but with mild residual hemiparesis. Nervous system involvement, such as meningitis and brain abscess, have been described in this particularly severe disease. This is the only known report of intracranial hemorrhage as a complication of the disease.