Details

Autor(en) / Beteiligte

• Mellado-Sola, I.
• Cobo-Vázquez, E.
• Calvo-Fernandez, A.
• Cervantes, E.
• Coca, A.
• Calderón-Llopis, B.
• Saavedra-Lozano, J.
• Calvo, C.

Titel

Mediastinitis secondary to invasive infection by group A Streptococcus in Spain

Ist Teil von

• European journal of pediatrics, 2024-01, Vol.183 (1), p.503-507

Ort / Verlag

Berlin/Heidelberg: Springer Berlin Heidelberg

Erscheinungsjahr

2024

Link zum Volltext

Quelle

SpringerLink

Beschreibungen/Notizen

• This study describes 5 mediastinitis cases secondary to invasive group A Streptococcus (iGAS) disease in a recent outbreak in Spain. Among 398 iGAS cases between January 2019—March 2023, 5 (1.3%) were mediastinitis, 4 occurring in December 2022, all secondary to pneumonia or deep neck infection. We outline the clinical outcome with a review of the scarce pediatric literature.   Conclusion : mediastinistis is a rare but severe complication of iGAS and a high level of suspicion is required to diagnose it. What is Known: • Group A Streptococcus can cause invasive and severe infections in children. • Mediastinitis is a severe complication from some bacterial infections, mainly secondary due to deep-neck abscesses. What is New: • Mediastinitis is an unrecognized complication due to an invasive group A Streptococcus (iGAS) infection. • In cases of a deep-neck abscess or complicated pneumonia a high clinical suspicion of iGAS mediastinitis is required, especially when the clinical course is not favorable.