Reina BE, Camacho MG, Rodríguez ML, Arzate BP, Perea MLM, González SN

Language: Spanish
References: 8
Page: 178-180
PDF size: 190.93 Kb.

ABSTRACT

We report the case of a female patient four years old, previously healthy with no history of importance. After his brother had an episode of active varicella, the patient had an episode of chickenpox, 10 days before admission to hospital. She arrived with swelling and erythema in the anterior and posterior right hemithorax, fever of 39° C and changes in alertness. He had erythema and edema in the cervical region and in the right chest, with vesicular lesions and scabs scattered Impetiginized. Blood culture and culture of the discharge of the gallbladder was isolated Streptococcus pyogenes serotype M12. The outcome was appropriate and was discharged from hospital after 30 days of stay.

REFERENCES

1. Creti R, Imperi M, Baldassarri L, et al. Emm types, virulence, factors, and antibiotic resistance of invasive streptococcus pyogenes isolates from Italy: What has changed in 11 years? J Clin Microbiol 2007;45(7):2249-2256.

2. Lappin E, Ferguson A. Grampositive toxic shock syndromes. Lancet Infect Dis 2009;9:281-290.

3. Moses A, Hidalgo-Grass C, Dan-Goor M, et al. Emm typing of nontypeable invasive group A streptococcal isolates in Israel. J Clin Microbiol 2003;41(10):4655-4659.

4. Ekelund K, Darenberg J, Norrby-Teglund A, et al. Variations in emm type among group A streptococcal isolates causing invasive or noninvasive infections in a nationwide study. J Clin Microbiol 2005;43(7):3101-3109.

5. Tewodros W, Kronvall G. M protein gene (emm Type). Analysis of group A beta-haemolytic streptococci from Ethiopia reveals unique patterns. J Clin Microbiol 2005;43(9):4369-4376.

6. Nir-Paz R, Korenman Z, Ron M, et al. Streptococcus pyogenes emm and T types within a decade, 1996-2005: implications for epidemiology and future vaccines. Epidemiol Infect 2010;138:53-60.

7. Luca-Harari B, Darenberg J, Neal S, et al. Clinical and microbiological characteristics of severe Streptococcus pyogenes disease in Europe. J Clin Microbiol 2009;47(4):1155-1165.

8. Espinosa L, Li Z, Gomez Barreto D, et al. M protein gene type distribution among group A Streptococcal clinical isolates recovered in México City, México, from 1991 to 2000, and Durango, México, from 1998 to 1999: overlap with type distr bution within the united states. J Clin Microbiol 2003;41(1):373-378.