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KMID : 0605820070140010104
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Korean Journal of Pediatric Infectious Diseases
2007 Volume.14 No. 1 p.104 ~ p.110
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Three cases of atypically presented group A streptococcal infections
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Yeo Yun-Ku
Lee Eun-Hee
Ko Kwang-Min
Jae Seo-Jin
Kim Tae-Yeun
Lee Jin
Kim Yun-Kyung
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Abstract
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Streptococcus pyogenes, which is classified to Group A streptococcus (GAS), is one of the
most common bacterial pathogens of the childhood infection. This organism can cause acute
bacterial pharyngitis, impetigo, peritonsilar abscess or scarlet fever. It can also cause severe
invasive diseases such as toxic shock syndrome, sepsis, septic arthritis, necrotizing pneumonia or necrotizing fasciitis. Usually, invasive GAS infections are accompanied by systemic
symptoms and signs. Necrotizing pneumonia presents with acute fever, pleuritic chest pain
and cough. The progress of disease is usually rapid and typically, pleural effusion develops
in the early course of disease. Necrotizing fasciitis is relatively rare but once it has developed, it may be life threatening and cause necrosis of adjacent soft tissues with rapid progress. Clinical manifestations of parapharyngeal abscess are fever, dysphagia or bulging of
pharyngeal wall. We experienced three cases of GAS infections which were presented
atypically. (Korean J Pediatr Infect Dis 2007;14:104-110)
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KEYWORD
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Group A steptococcus, Streptococcus pyogenes, Abscess, Necrotizing fasciitis, Necrotizing pneumonia
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