Since October 2022, alerts have spread from several countries about the increase in invasive group A streptococcal (iGAS) and scarlet fever cases affecting young children. We aim to analyze the epidemiology of GAS infections in the last 12 years in our hospital and identify the clinical features of invasive cases observed in 2023. We conducted a retrospective study enrolling children and adolescents hospitalized at our pediatric clinic from January to December 2023 for a definitive diagnosis of iGAS infection. Clinical, laboratory, and imaging data were collected and analyzed. Comparing 2016 and 2023, we observed a similar number of GAS infections (65 vs. 60 cases). Five children with iGAS infection were hospitalized between March and April 2023. The median age was five years. At admission, all patients showed tachycardia disproportionate to their body temperature. Vomiting was a recurrent symptom (80%). Laboratory tests mostly showed lymphopenia, hyponatremia, and high inflammatory markers. The number of pediatric iGAS cases significantly increased in 2023. Clinical (pre-school-aged children with high fever, unexplained tachycardia, and vomiting) and laboratory parameters (high procalcitonin levels, hyponatremia, and lymphopenia) could help identify and suspect a potential iGAS infection.
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http://dx.doi.org/10.3390/children11060614 | DOI Listing |
J Infect Public Health
December 2024
Department of Infectious Diseases and Child Neurology, Institute of Paediatrics, Poznan University of Medical Sciences, Poland.
Background: Group A Streptococci (GAS) may cause infections of the pharynx and soft tissues and invasive infections in children (iGAS). A significant increase in severe iGAS infections has been reported in Europe since the fall of 2022.
Objectives: This retrospective study aims to analyse clinical data of children with invasive and non-invasive GAS infections in the post-COVID-19 pandemic era, searching for predisposing factors to developing invasive infections.
Eur J Clin Microbiol Infect Dis
December 2024
Department of Infectious Diseases, Okayama University Hospital, 2-5-1 Shikata-cho, Okayama, Okayama, 700-8558, Japan.
Purpose: Following the COVID-19 pandemic, group A Streptococcus (GAS) infection has been surging worldwide. We aimed to compare the disease burden between notified cases of streptococcal toxic shock syndrome (STSS) and unreported GAS infections.
Methods: This is a multicentral observational study, retrospectively performed at seven hospitals in Okayama prefecture in Japan from January 2022, to June 2024.
J Glob Antimicrob Resist
December 2024
Research and Translational Laboratory of Acute Injury and Secondary Infection, Minhang Hospital, Fudan University, Shanghai, China.; Department of Laboratory Medicine, Minhang Hospital, Fudan University, Shanghai, China.. Electronic address:
Objectives: Invasive group A streptococcal (iGAS) infections have been rising in Europe, Australia, and the USA, but few data from China are available. This study was intended to provide local data to mirror the characteristics of iGAS infections in China.
Methods: Retrospective analysis was performed on the clinical data of the iGAS infections during 2014-2023 in a tertiary hospital in Shanghai, China.
Cureus
November 2024
Intensive Care Unit, Centre Hospitalier de Wallonie Picarde, Tournai, BEL.
Group A (GAS) is a ubiquitous pathogen responsible for a wide range of infections, from superficial to severe invasive forms (iGAS). Among these, primary bacterial peritonitis (PBP) due to GAS is a rare but severe presentation. Recent epidemiological data indicate a significant rise in iGAS cases globally, which may be linked to changes in post-pandemic pathogen circulation.
View Article and Find Full Text PDFMicrobiol Spectr
November 2024
Servicio Bacteriología Especial, Instituto Nacional de Enfermedades Infecciosas, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina.
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