Mediastinitis secondary to invasive infection by group A Streptococcus in Spain.
Eur J Pediatr
; 183(1): 503-507, 2024 Jan.
Article
in En
| MEDLINE
| ID: mdl-37889290
ABSTRACT
This study describes 5 mediastinitis cases secondary to invasive group A Streptococcus (iGAS) disease in a recent outbreak in Spain. Among 398 iGAS cases between January 2019-March 2023, 5 (1.3%) were mediastinitis, 4 occurring in December 2022, all secondary to pneumonia or deep neck infection. We outline the clinical outcome with a review of the scarce pediatric literature. Conclusion:
mediastinistis is a rare but severe complication of iGAS and a high level of suspicion is required to diagnose it. What is Known ⢠Group A Streptococcus can cause invasive and severe infections in children. ⢠Mediastinitis is a severe complication from some bacterial infections, mainly secondary due to deep-neck abscesses. What is New ⢠Mediastinitis is an unrecognized complication due to an invasive group A Streptococcus (iGAS) infection. ⢠In cases of a deep-neck abscess or complicated pneumonia a high clinical suspicion of iGAS mediastinitis is required, especially when the clinical course is not favorable.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Pneumonia
/
Streptococcal Infections
/
Mediastinitis
Limits:
Child
/
Humans
Country/Region as subject:
Europa
Language:
En
Journal:
Eur J Pediatr
Year:
2024
Type:
Article
Affiliation country:
Spain