Group A Streptococcus Meningitis Following Arnold-Chiari Correction Surgery: A Case Report

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Figueiredo Rafael; Soares Joana; Sarmento Alzira; Ferreira Paula Regina

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Journal Paper

Paper Information

Journal: Journal of Pediatric Perspectives Year:2020 | Volume:8 | Issue:12 (84) Page(s): 12585-12590

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Information Journal Paper

Title

Group A Streptococcus Meningitis Following Arnold-Chiari Correction Surgery: A Case Report

Author(s)

Figueiredo Rafael | Soares Joana | Sarmento Alzira | Ferreira Paula Regina | Issue Writer Certificate

Keywords

Arnold-Chiari type I malformation surgery

Group A Streptococcus invasive disease;Group A Streptococcus meningitis

Abstract

Group A Streptococcus (GAS) can cause invasive disease but rarely causes meningitis. Here we report a three-year-old girl with a GAS meningitis after Arnold-Chiari type I corrective surgery. Six days after surgery she presented fever, headache, vomiting and surgical wound inflammatory signs. A cerebrospinal fluid (CSF) collection with a fistulous path to skin was identified and GAS was found in blood and CSF cultures. Despite targeted antibiotherapy, due to lack of improvement and difficult management of the CSF fistula, she needed to be submitted to several surgical corrections and increased antibiotherapy spectrum. Despite the low risk in acquiring bacterial meningitis after neurosurgery, these procedures may be a direct route for infection. Surgery complications like a fistula are a known risk factor for infection and although uncommon, GAS meningitis may be difficult to manage and can cause serious morbidity.

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APA: Copy

Figueiredo, Rafael, Soares, Joana, Sarmento, Alzira, & Ferreira, Paula Regina. (2020). Group A Streptococcus Meningitis Following Arnold-Chiari Correction Surgery: A Case Report. INTERNATIONAL JOURNAL OF PEDIATRICS, 8(12 (84)), 12585-12590. SID. https://sid.ir/paper/697872/en

Vancouver: Copy

Figueiredo Rafael, Soares Joana, Sarmento Alzira, Ferreira Paula Regina. Group A Streptococcus Meningitis Following Arnold-Chiari Correction Surgery: A Case Report. INTERNATIONAL JOURNAL OF PEDIATRICS[Internet]. 2020;8(12 (84)):12585-12590. Available from: https://sid.ir/paper/697872/en

IEEE: Copy

Rafael Figueiredo, Joana Soares, Alzira Sarmento, and Paula Regina Ferreira, “Group A Streptococcus Meningitis Following Arnold-Chiari Correction Surgery: A Case Report,” INTERNATIONAL JOURNAL OF PEDIATRICS, vol. 8, no. 12 (84), pp. 12585–12590, 2020, [Online]. Available: https://sid.ir/paper/697872/en

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