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Published on: November 5, 2019
Group A streptococcal meningitis: a case report
Marina Busetti1, Federico Marchetti, Eleonora Croci
1Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy.
Abstract:
Streptococcus pyogenes (Group A streptococcus, GAS) is a rare cause of bacterial meningitis, accounting for less than 1% of cases. GAS meningitis has rarely been reported in children, and is associated with a high (46%) rate of morbidity and a high (10-17%) case fatality rate. This paper describes a case of meningitis caused by GAS in a previously healthy child; M protein genotyping demonstrated an emm type 12. Although not common, GAS meningitis must be considered in children vaccinated for other invasive pathogens. Continuous monitoring of the molecular epidemiology of circulating invasive GAS strains is of crucial importance for planning intervention policies.
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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