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      Streptococcus pyogenes meningitis in children: report of two cases and literature review

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          Abstract

          Streptococcus pyogenes meningitis (SPM) occurs sporadically, even with the increase of invasive streptococcal disease observed in the past years. We reported two cases of SPM in infants to alert pediatricians for the possibility of this agent as a cause of meningitis in previously healthy children.

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          Invasive disease due to group A beta-hemolytic streptococci: continued occurrence in children in North Carolina.

          L B Givner (1998)
          We have previously reported a significant increase beginning in the late 1980s in the incidence of invasive disease due to group A beta-hemolytic streptococci (GABS) in children admitted to our hospital. To determine subsequent trends in epidemiology, we have continued to monitor cases. We prospectively monitored cases of invasive disease due to GABS at Brenner Children's Hospital during the 5 1/2 years (July 1, 1990, to December 31, 1995) since our last report. Twenty-five patients had GABS isolated from normally sterile sites. Their presentations were varied. One patient had necrotizing fasciitis and one had toxic shock-like syndrome. The one death was that of a newborn infant with sepsis and meningitis. The proportion of GABS infections associated with varicella was significantly greater during this period (7/25, 28%) than during the period 1983 to 1990 (1/22, 5%). Isolates were available tor study from 24 patients. Serotypes were M1 (4), M3 (4), M6 (2), M12 (3), M22 (3), M75 (1) and M-nontypeable (7). The number of cases of invasive disease seen annually from 1983 through 1995 also is reviewed. The resurgence of invasive disease due to GABS in children noted in the late 1980s continues through the first half of the 1990s. The clinical manifestations are varied as are the causative M-types. As almost one third of cases in this series were associated with varicella infection, widespread use of the varicella vaccine may lead to a decrease in the incidence of invasive GABS disease.
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            Group A Streptococcal Meningitis in Adults Report of 41 Cases and a Review of the Literature

            Diederik Van de Beek, Jan De Gans, Lodewijk Spanjaard … (2002)
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              Group A streptococcal meningitis in a pediatric patient following cochlear implantation: report of the first case and review of the literature.

              Géraldine Pettersen, Philippe Ovetchkine, Bruce Tapiero (2005)
              The Food and Drug Administration published a public health warning on the association of bacterial meningitis and cochlear implants in June 2002. This article reports the first case of group A streptococcal (GAS) meningitis in a cochlear-implanted patient, followed by a review on cochlear implantation and GAS meningitis.
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                Author and article information

                Contributors
                Mariana V. Arnoni: Role: ND
                Eitan N. Berezin: Role: ND
                Marco A.P. Sáfadi: Role: ND
                Flávia J. Almeida: Role: ND
                Cláudia R.C. Lopes: Role: ND
                Journal
                Journal ID (publisher): bjid
                Title: Brazilian Journal of Infectious Diseases
                Abbreviated Title: Braz J Infect Dis
                Publisher: Brazilian Society of Infectious Diseases (Salvador )
                ISSN: 1678-4391
                Publication date (Print): June 2007
                Volume: 11
                Issue: 3
                Pages: 375-377
                Affiliations
                [1 ] Santa Casa de Misericórdia de São Paulo Brazil
                Article
                Publisher ID: S1413-86702007000300015
                DOI: 10.1590/S1413-86702007000300015
                SO-VID: a1870390-b62b-48d0-bef2-373ec9292039
                License:

                http://creativecommons.org/licenses/by/4.0/

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                SciELO Brazil

                Self URI (journal page): http://www.scielo.br/scielo.php?script=sci_serial&pid=1413-8670&lng=en
                Categories
                Subject: INFECTIOUS DISEASES

                ScienceOpen disciplines: Infectious disease & Microbiology
                Keywords: Streptococcus pyogenes,meningitis,children
                Data availability:
                ScienceOpen disciplines: Infectious disease & Microbiology
                Keywords: Streptococcus pyogenes, meningitis, children

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