Journal of Case Reports in Medical Science
 

Journal of Case Reports in Medical Science, ISSN No. : 2456-9143, Vol.: 4, Issue.: 2

Case Report

SUPPURATIVE PULMONARY SEQUELAE OF INVASIVE GROUP A STREPTOCOCCUS IN 5-YEAR OLD CHILD

 

KUNLE SAMSON OYEDOKUN1*, SUDHAKAR KANDASAMY2 AND FEMI ADENIYI3

1Paediatric Trainee ST5, Liverpool Women’s NHS Foundation Trust, Crown Street, Liverpool L8 7SS, United Kingdom.

2Southport and Ormskirk Hospital NHS Trust, Ormskirk and District General Hospital, Wigan Road Ormskirk, Lancashire, L39 2AZ, United Kingdom.

3Paediatric Trainee ST3, Glan Clwyd Hospital, Rhuddlan Road, Bodelwyddan, Rhyl, Denbighshire, LL18 5UJ, United Kingdom.

Abstracts

Background: The incidence of invasive group A streptococcal infection (iGAS) is on the rise. Necrotizing pneumonia as suppurative sequelae is rare but potentially fatal complication of the disease in children. Successful treatment and cure depend on supportive management and early administration of intravenous antibiotics.

Case Presentation: A case was reported of previously healthy 5-year old boy who developed severe rapidly progressing lung disease secondary to iGAS sepsis. He was diagnosed with necrotizing pneumonia after failure of antimicrobial therapy.

Result: He made rapid complete recovery following surgical lobectomy.

Conclusion: Necrotizing pneumonia is a serious complication of iGAS and clinicians need to consider this diagnosis in a child with rapidly progressing pneumonia not improving with adequate antibiotics.

Keywords :

Invasive group A streptococcus; necrotizing pneumonia; pediatrics.