Invasive <i>Streptococcus intermedius</i> Infections in Children: Two Cases from a Pediatric Infectious Diseases Unit in Italy
In recent years, an increasing number of reports have described invasive infections caused by bacteria from <i>Streptococcus anginosus group</i> (SAGs). <i>S. intermedius</i> seems to be more related with pleuropulmonary infections and abscess of the brain and deep soft tissu...
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MDPI AG
2024-12-01
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| Series: | Pathogens |
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| Online Access: | https://www.mdpi.com/2076-0817/13/12/1099 |
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| author | Piero Veronese Simone Cella Alessandra Giacometti Irene Lapetina Valentina Maffini Marco Pappalardo Monica Rubini Maria Beatrice Ruozi Icilio Dodi |
| author_facet | Piero Veronese Simone Cella Alessandra Giacometti Irene Lapetina Valentina Maffini Marco Pappalardo Monica Rubini Maria Beatrice Ruozi Icilio Dodi |
| author_sort | Piero Veronese |
| collection | DOAJ |
| description | In recent years, an increasing number of reports have described invasive infections caused by bacteria from <i>Streptococcus anginosus group</i> (SAGs). <i>S. intermedius</i> seems to be more related with pleuropulmonary infections and abscess of the brain and deep soft tissues, and it is more likely to cause suppurative and non-bacteremic infections compared to other members of the same genus. We present two clinical cases of invasive <i>S. intermedius</i> infections in pediatric patients: a liver abscess case and a pansinusitis case associated with bilateral otomastoiditis and parapharyngeal abscess complicated by acute mediastinitis, thrombophlebitis of the cavernous sinus, and thrombosis of the cranial tract of the ipsilateral jugular vein. In both cases, prompt broad-spectrum antibiotic therapy and operative drainage of the collections resulted in a good clinical response with full recovery. |
| format | Article |
| id | doaj-art-4895de91a7f44077b6851efc0de01fe2 |
| institution | OA Journals |
| issn | 2076-0817 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pathogens |
| spelling | doaj-art-4895de91a7f44077b6851efc0de01fe22025-08-20T02:01:28ZengMDPI AGPathogens2076-08172024-12-011312109910.3390/pathogens13121099Invasive <i>Streptococcus intermedius</i> Infections in Children: Two Cases from a Pediatric Infectious Diseases Unit in ItalyPiero Veronese0Simone Cella1Alessandra Giacometti2Irene Lapetina3Valentina Maffini4Marco Pappalardo5Monica Rubini6Maria Beatrice Ruozi7Icilio Dodi8Pediatric Infectious Disease Unit, Children’s Hospital of Parma, 43126 Parma, ItalyPediatric Radiology Unit, Institute of Radiology, University of Parma, 43126 Parma, ItalyPediatric Infectious Disease Unit, Children’s Hospital of Parma, 43126 Parma, ItalyPediatric Infectious Disease Unit, Children’s Hospital of Parma, 43126 Parma, ItalyPediatric Infectious Disease Unit, Children’s Hospital of Parma, 43126 Parma, ItalyPediatric Infectious Disease Unit, Children’s Hospital of Parma, 43126 Parma, ItalyPediatric Infectious Disease Unit, Children’s Hospital of Parma, 43126 Parma, ItalyPediatric Infectious Disease Unit, Children’s Hospital of Parma, 43126 Parma, ItalyPediatric Infectious Disease Unit, Children’s Hospital of Parma, 43126 Parma, ItalyIn recent years, an increasing number of reports have described invasive infections caused by bacteria from <i>Streptococcus anginosus group</i> (SAGs). <i>S. intermedius</i> seems to be more related with pleuropulmonary infections and abscess of the brain and deep soft tissues, and it is more likely to cause suppurative and non-bacteremic infections compared to other members of the same genus. We present two clinical cases of invasive <i>S. intermedius</i> infections in pediatric patients: a liver abscess case and a pansinusitis case associated with bilateral otomastoiditis and parapharyngeal abscess complicated by acute mediastinitis, thrombophlebitis of the cavernous sinus, and thrombosis of the cranial tract of the ipsilateral jugular vein. In both cases, prompt broad-spectrum antibiotic therapy and operative drainage of the collections resulted in a good clinical response with full recovery.https://www.mdpi.com/2076-0817/13/12/1099<i>Streptococcus</i> intermediusacute mediastinitisliver abscesspediatric invasive infections |
| spellingShingle | Piero Veronese Simone Cella Alessandra Giacometti Irene Lapetina Valentina Maffini Marco Pappalardo Monica Rubini Maria Beatrice Ruozi Icilio Dodi Invasive <i>Streptococcus intermedius</i> Infections in Children: Two Cases from a Pediatric Infectious Diseases Unit in Italy Pathogens <i>Streptococcus</i> intermedius acute mediastinitis liver abscess pediatric invasive infections |
| title | Invasive <i>Streptococcus intermedius</i> Infections in Children: Two Cases from a Pediatric Infectious Diseases Unit in Italy |
| title_full | Invasive <i>Streptococcus intermedius</i> Infections in Children: Two Cases from a Pediatric Infectious Diseases Unit in Italy |
| title_fullStr | Invasive <i>Streptococcus intermedius</i> Infections in Children: Two Cases from a Pediatric Infectious Diseases Unit in Italy |
| title_full_unstemmed | Invasive <i>Streptococcus intermedius</i> Infections in Children: Two Cases from a Pediatric Infectious Diseases Unit in Italy |
| title_short | Invasive <i>Streptococcus intermedius</i> Infections in Children: Two Cases from a Pediatric Infectious Diseases Unit in Italy |
| title_sort | invasive i streptococcus intermedius i infections in children two cases from a pediatric infectious diseases unit in italy |
| topic | <i>Streptococcus</i> intermedius acute mediastinitis liver abscess pediatric invasive infections |
| url | https://www.mdpi.com/2076-0817/13/12/1099 |
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