RESUMEN
We reviewed all cases of Panton-Valentine leukocidin-producing Staphylococcus aureus (PVL-SA) bacteremia in Danish children between 2016 and 2021. We found 2 fatal cases with preceding viral prodrome due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Given the usual benign course of SARS-CoV-2 infection in children, awareness of possible superinfection with PVL-SA in a child with rapid deterioration is crucial to ensure adequate treatment, including antimicrobial drugs with antitoxin effect.
Asunto(s)
Bacteriemia , Toxinas Bacterianas/biosíntesis , COVID-19/complicaciones , Exotoxinas/biosíntesis , Leucocidinas/biosíntesis , SARS-CoV-2 , Infecciones Estafilocócicas/etiología , Infecciones Estafilocócicas/mortalidad , Staphylococcus aureus/genética , Adolescente , COVID-19/virología , Niño , Preescolar , Coinfección , Comorbilidad , Dinamarca/epidemiología , Femenino , Humanos , Lactante , Masculino , Staphylococcus aureus Resistente a Meticilina/genética , Staphylococcus aureus Resistente a Meticilina/metabolismo , Vigilancia en Salud Pública , Índice de Severidad de la Enfermedad , Infecciones Estafilocócicas/diagnóstico , Infecciones Estafilocócicas/terapia , Staphylococcus aureus/efectos de los fármacos , Staphylococcus aureus/metabolismoRESUMEN
The disease moyamoya is rare in Europe, but it is seen more frequently in Japan and other Asian countries. Moyamoya is characterized by progressing occlusion of the cerebral arteries and secondary development of pathological collateral vessels induced by ischaemia. This case report describes a newly diagnosed patient with moyamoya, who was referred to a paediatric clinic because of headache and involuntary movements and sounds. Due to the rare occurrence of moyamoya, the purpose of this case report is to draw attention to its diagnosis with a view to achieving an early diagnosis of the disease.