Group A streptococcal meningitis: a case report

Marina Busetti1, Federico Marchetti, Eleonora Croci

  • 1Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy.

The New Microbiologica
|November 2, 2013
PubMed

Insights

Group A Streptococcus (GAS) meningitis is rare in children but causes severe illness. This case highlights the importance of considering GAS in pediatric meningitis, even with vaccination.

Area of Science:

  • Microbiology
  • Pediatrics
  • Infectious Diseases

Background:

  • Group A Streptococcus (GAS) is an uncommon cause of bacterial meningitis, representing less than 1% of cases.
  • GAS meningitis in children is infrequently reported but associated with significant morbidity (46%) and mortality (10-17%).

Observation:

  • A case of meningitis caused by Streptococcus pyogenes (GAS) in a previously healthy child is presented.
  • M protein genotyping identified the specific emm type 12 strain responsible for the infection.

Findings:

  • This case underscores that GAS meningitis, though rare, can occur in pediatric populations.
  • The identified emm type 12 strain is a potential contributor to invasive GAS disease.

Implications:

  • Healthcare providers should consider GAS meningitis in the differential diagnosis for children presenting with meningitis, especially those vaccinated against other common pathogens.
  • Ongoing surveillance of the molecular epidemiology of invasive GAS strains is essential for public health interventions and policy development.

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