Streptococcal toxic shock syndrome or Kawasaki disease? Two case studies of children with group A streptococcal pneumonia empyema
We report 2 cases of children with group A streptococcus pyogenes pleuropneumonia, in one child associated with Kawasaki disease and in the other with streptococcal toxic shock syndrome. These 2 features, with theoretically well-defined clinical and biological criteria, are difficult to differentiat...
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| Veröffentlicht in: | Archives de pédiatrie : organe officiel de la Société française de pédiatrie 2011-12, Vol.18 (12), p.1310 |
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| container_title | Archives de pédiatrie : organe officiel de la Société française de pédiatrie |
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| creator | Bosland, A Arlaud, K Rousset-Rouvière, C Fouilloux, V Paut, O Dubus, J-C Bosdure, E |
| description | We report 2 cases of children with group A streptococcus pyogenes pleuropneumonia, in one child associated with Kawasaki disease and in the other with streptococcal toxic shock syndrome. These 2 features, with theoretically well-defined clinical and biological criteria, are difficult to differentiate in clinical practice, however, likely due to their pathophysiological links. In case of clinical doubt, an echocardiography needs to be performed to search for coronary involvement and treatment including intravenous immunoglobulins, and an antibiotic with an anti-toxin effect such as clindamycin has to be started early. |
| doi_str_mv | 10.1016/j.arcped.2011.09.027 |
| format | Article |
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Two case studies of children with group A streptococcal pneumonia empyema</title><title>Archives de pédiatrie : organe officiel de la Société française de pédiatrie</title><addtitle>Arch Pediatr</addtitle><description>We report 2 cases of children with group A streptococcus pyogenes pleuropneumonia, in one child associated with Kawasaki disease and in the other with streptococcal toxic shock syndrome. These 2 features, with theoretically well-defined clinical and biological criteria, are difficult to differentiate in clinical practice, however, likely due to their pathophysiological links. 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Two case studies of children with group A streptococcal pneumonia empyema</atitle><jtitle>Archives de pédiatrie : organe officiel de la Société française de pédiatrie</jtitle><addtitle>Arch Pediatr</addtitle><date>2011-12</date><risdate>2011</risdate><volume>18</volume><issue>12</issue><spage>1310</spage><pages>1310-</pages><eissn>1769-664X</eissn><abstract>We report 2 cases of children with group A streptococcus pyogenes pleuropneumonia, in one child associated with Kawasaki disease and in the other with streptococcal toxic shock syndrome. These 2 features, with theoretically well-defined clinical and biological criteria, are difficult to differentiate in clinical practice, however, likely due to their pathophysiological links. 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| fulltext | fulltext |
| identifier | EISSN: 1769-664X |
| ispartof | Archives de pédiatrie : organe officiel de la Société française de pédiatrie, 2011-12, Vol.18 (12), p.1310 |
| issn | 1769-664X |
| language | fre |
| recordid | cdi_pubmed_primary_22041597 |
| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Anti-Bacterial Agents - therapeutic use Child, Preschool Clindamycin - therapeutic use Diagnosis, Differential Drug Therapy, Combination Empyema, Pleural - drug therapy Empyema, Pleural - microbiology Humans Immunoglobulins, Intravenous - therapeutic use Immunologic Factors - therapeutic use Infant Male Mucocutaneous Lymph Node Syndrome - complications Mucocutaneous Lymph Node Syndrome - diagnosis Mucocutaneous Lymph Node Syndrome - drug therapy Pneumonia, Pneumococcal - drug therapy Pneumonia, Pneumococcal - microbiology Shock, Septic - diagnosis Shock, Septic - drug therapy Shock, Septic - microbiology Shock, Septic - therapy Streptococcal Infections - complications Streptococcal Infections - diagnosis Streptococcal Infections - drug therapy Streptococcal Infections - therapy Streptococcus pyogenes - isolation & purification Streptococcus pyogenes - pathogenicity Treatment Outcome |
| title | Streptococcal toxic shock syndrome or Kawasaki disease? Two case studies of children with group A streptococcal pneumonia empyema |
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