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Revista chilena de pediatría

versión impresa ISSN 0370-4106

Resumen

ALARCON O, Claudia; ORDENES P, Mary Carmen; DENEGRI M, Marisol  y  ZUNIGA, Jorge. Grupo Invasive infections by group a streptococcus. Rev. chil. pediatr. [online]. 2006, vol.77, n.5, pp.487-491. ISSN 0370-4106.  http://dx.doi.org/10.4067/S0370-41062006000500006.

Since 1980 there has been a resurgence of severe infections by Group A Streptococcus (GAS). Objective: To evaluate in our hospital the clinical behaviour and predisposing factors for GAS infections. Methods: Clinical information from 37 charts of children with GAS positive cultures hospitalized in Félix Bulnes Cerda Hospital were analyzed between March 1995 and January 2005. Results: 81% healthy children with predisposing factors: burns (30%), varicella (19%) and trauma (16%). The main symptoms were fever (84%) and local inflammatory signs (40%). The clinical manifestations include soft tissue infections (32%), bacteremia (30%), osteoarthritis (10,8%), empyema (10,8%), toxic shock (8,1%) and necrotizing fasciitis (5,4%). Three patients died. Conclusion: Invasive GAS mainly affects healthy children with skin port of entry and may cause death

Palabras clave : Group A Streptococcus; severe infection; children.

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