https://scholars.lib.ntu.edu.tw/handle/123456789/194934
標題: | Characteristics of Group a Streptococcal Bacteremia with Comparison between Children and Adults | 作者: | CHANG, LUAN-YIN | 關鍵字: | Bacteremia group A;Streptococcus streptococcal toxic shock;syndrome | 公開日期: | 2001 | 卷: | v.34 | 期: | n.3 | 起(迄)頁: | 195-200 | 來源出版物: | J MICROBIOL IMMUNOL INFECT | 摘要: | This retrospective study aimed to compare the characteristics of group A streptococcal bacteremia in children and adults. A total of 76 (12 children and 64 adults) patients with group A streptococcal bacteremia treated from October 1995 through September 2000 at the Linko Chang Gung Memorial Hospital were included. The mean age was 47.6 years (range, 12 days-90 years). Forty-four (57 .9%) patients had predisposing medical conditions. Malignant cancer (23.7%) and diabetes (22.4%) were the 2 most common conditions, which occurred only in adults. Two (16.7%) children had chickenpox associated with secondary group A streptococcal bacteremia. Skin and soft tissue infection (60 .5%) was the most common clinical manifestation. The mortality rate related to group A streptococcal bacteremia was 25%. Twelve patients met the criteria of streptococcal toxic shock syndrome and 6 (50%) were children (p<0.05). Despite immediate and aggressive treatment, mortality due to streptococcal toxic shock syndrome was 66.7%. The incidence of streptococcal toxic shock syndrome was much higher in children (50%) than in adults (9.4%). Early diagnosis of invasive group A streptococcal infections and streptococcal toxic shock syndrome requires awareness of the presentations and a high level of suspicion. For fulminant group A streptococcal infection, a combination of a beta-lactam antibiotic plus clindamycin and/or adjuvant therapy with intravenous immunoglobulin is recommended. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/94826 |
顯示於: | 醫學系 |
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