Document Detail


Sacroiliitis infected with group A streptococcus in a child presenting with confusion and combativeness.
MedLine Citation:
PMID:  19856073     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Group A streptococcus-associated severe invasive infection (streptococcal toxic shock syndrome) has been described. Streptococcal toxic shock syndrome occurs when the infecting strain of group A streptococcus produces superantigens. Confusion and combativeness are well known as the common symptoms of streptococcal toxic shock syndrome. We encountered a child who suffered from pyogenic sacroiliitis, with confusion and combativeness. Group A streptococcus was isolated from the patient's blood culture. However, his disease did not fulfill the criteria of streptococcal toxic shock syndrome. Pyogenic sacroiliitis in children is rare, but patients with pyogenic sacroiliitis due to group A streptococcus infection could show confusion and combativeness as clinical signs, similar to the signs in streptococcal toxic shock syndrome.
Authors:
Haruki Komatsu; Hiroki Nojiri; Tsuyoshi Sogo; Ayano Inui; Fumihiro Sawa; Tomoo Fujisawa
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-10-24
Journal Detail:
Title:  Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy     Volume:  15     ISSN:  1437-7780     ISO Abbreviation:  J. Infect. Chemother.     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-26     Completed Date:  2010-01-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9608375     Medline TA:  J Infect Chemother     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  328-30     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Yokohama Eastern Hospital, 3-6-1 Simosueyoshi, Tsurumi, Yokohama, Kanagawa 230-0012, Japan. haruki-komatsu@chive.ocn.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Aggression*
Arthritis / diagnosis*,  microbiology,  pathology
Confusion / microbiology*
Humans
Male
Sacroiliac Joint / microbiology*,  pathology
Shock, Septic / diagnosis*,  microbiology,  psychology
Streptococcal Infections / complications,  diagnosis*,  pathology
Streptococcus pyogenes*
Suppuration / diagnosis,  microbiology,  pathology

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