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Group A β-hemolytic streptococcal meningoencephalitis with unilateral hemiparesis
- Authors
- Kim, K.-W.; Soon, E.-G.; Cha, B.H.; Lee, H.Y.; Uh, Y.; Kim, S.; Chun, J.-K.
- Issue Date
- 2009
- Publisher
- The Korean Society of Pediatric Infectious Diseases
- Keywords
- Children; Coagulopathy; Hemiparesis; Invasive group A streptococcal infection
- Citation
- Korean Journal of Pediatric Infectious Diseases, v.16, no.2, pp 210 - 214
- Pages
- 5
- Indexed
- SCOPUS
- Journal Title
- Korean Journal of Pediatric Infectious Diseases
- Volume
- 16
- Number
- 2
- Start Page
- 210
- End Page
- 214
- ISSN
- 1226-3923
- Abstract
- Group A streptococcus (GAS) rarely causes meningoencephalitis in children without risk factors. A previously healthy 8 year-old child presented with lethargy, high fever, and vomiting. The clinical course was unusual including intractable seizures, disseminated intravascular coagulation (DIC), and left hemiparesis in spite of the appropriate and timely administration of antibiotics and corticosteroids. The microbiologic studies revealed that the pathogen was susceptible to penicillin and GAS M18 strains. This case showed the importance of the GAS vaccine in addition to appropriate antibiotics.
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