Emergence of Invasive Group A Streptococcus Infection in an Infant: A Case Report

Introduction: Group A streptococcus (GAS) manifests as a spectrum of illnesses, ranging from mild to life-threatening. While relatively rare in infants, GAS infections can present with grave consequences. Case Report: An eight-month-old infant was found to have GAS bacteremia complicated by sepsis a...

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Main Authors: Alexis N. Roach, Ryan Kwong, Sarah Sylvester
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2024-12-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/1zq1p1gp
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author Alexis N. Roach
Ryan Kwong
Sarah Sylvester
author_facet Alexis N. Roach
Ryan Kwong
Sarah Sylvester
author_sort Alexis N. Roach
collection DOAJ
description Introduction: Group A streptococcus (GAS) manifests as a spectrum of illnesses, ranging from mild to life-threatening. While relatively rare in infants, GAS infections can present with grave consequences. Case Report: An eight-month-old infant was found to have GAS bacteremia complicated by sepsis and disseminated intravascular coagulation, resulting in lower extremity myositis and tissue ischemia. Tissue ischemia progressed to dry gangrene requiring below-knee amputation followed by six weeks of antibiotics. Conclusion: This case serves as a reminder of the critical importance of vigilance, prompt recognition, and aggressive intervention in the management of invasive GAS infections in infants.
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series Clinical Practice and Cases in Emergency Medicine
spelling doaj-art-1cdfb890fff64f049877ec3ef537483d2025-02-04T17:35:19ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2024-12-0191454810.5811/cpcem.21172cpcem-9-45Emergence of Invasive Group A Streptococcus Infection in an Infant: A Case ReportAlexis N. Roach0Ryan Kwong1Sarah Sylvester2University of Arkansas for Medical Sciences, Arkansas Children’s Hospital, Department of Pediatrics, Section of Emergency Medicine, Little Rock, ArkansasUniversity of Arkansas for Medical Sciences, Arkansas Children’s Hospital, Department of Pediatrics, Section of Emergency Medicine, Little Rock, ArkansasUniversity of Arkansas for Medical Sciences, Arkansas Children’s Hospital, Department of Pediatrics, Section of Emergency Medicine, Little Rock, ArkansasIntroduction: Group A streptococcus (GAS) manifests as a spectrum of illnesses, ranging from mild to life-threatening. While relatively rare in infants, GAS infections can present with grave consequences. Case Report: An eight-month-old infant was found to have GAS bacteremia complicated by sepsis and disseminated intravascular coagulation, resulting in lower extremity myositis and tissue ischemia. Tissue ischemia progressed to dry gangrene requiring below-knee amputation followed by six weeks of antibiotics. Conclusion: This case serves as a reminder of the critical importance of vigilance, prompt recognition, and aggressive intervention in the management of invasive GAS infections in infants.https://escholarship.org/uc/item/1zq1p1gp
spellingShingle Alexis N. Roach
Ryan Kwong
Sarah Sylvester
Emergence of Invasive Group A Streptococcus Infection in an Infant: A Case Report
Clinical Practice and Cases in Emergency Medicine
title Emergence of Invasive Group A Streptococcus Infection in an Infant: A Case Report
title_full Emergence of Invasive Group A Streptococcus Infection in an Infant: A Case Report
title_fullStr Emergence of Invasive Group A Streptococcus Infection in an Infant: A Case Report
title_full_unstemmed Emergence of Invasive Group A Streptococcus Infection in an Infant: A Case Report
title_short Emergence of Invasive Group A Streptococcus Infection in an Infant: A Case Report
title_sort emergence of invasive group a streptococcus infection in an infant a case report
url https://escholarship.org/uc/item/1zq1p1gp
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AT ryankwong emergenceofinvasivegroupastreptococcusinfectioninaninfantacasereport
AT sarahsylvester emergenceofinvasivegroupastreptococcusinfectioninaninfantacasereport