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Granulicatella adiacens Causing a Parapharyngeal Abscess in a 10-Month-Old Infant: A Rare-Case Report and Literature

Saja Tahir1, Rand Hasanain1, Walid Abuhammour2

  • 1Pediatrics, Al Jalila Children's Speciality Hospital, Dubai, ARE.

Cureus
|August 21, 2023
PubMed

Insights

Granulicatella adiacens, a rare Streptococcus variant, caused a parapharyngeal abscess in an infant. This case highlights a rare pediatric deep neck infection, successfully treated with antibiotics and drainage.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Pediatrics

Background:

  • Granulicatella adiacens is a bacterium rarely associated with pyogenic infections.
  • While linked to endocarditis and bacteremia, its role in localized infections is less understood.

Observation:

  • A 10-month-old infant presented with a parapharyngeal abscess.
  • This deep neck infection (DNI) was caused by Granulicatella adiacens.

Findings:

  • This represents the first reported pediatric deep soft tissue neck infection caused by G. adiacens.
  • It is only the second reported localized infection by this bacterium in a pediatric patient.

Implications:

  • This case expands the understanding of G. adiacens as a pathogen in pediatric deep neck infections.
  • The report underscores the importance of considering rare bacteria in DNIs and includes a literature review for clinical guidance.

Keywords:
deep neck infectiongranulicatella adiacensparapharyngeal abscesspediatricpediatric infectious disease

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