AI Article Synopsis

  • * A study conducted at a pediatric clinic analyzed data from children hospitalized for iGAS infections in 2023, revealing clinical patterns and groundbreaking insights into the infections.
  • * Between 2016 and 2023, the number of GAS infections remained relatively stable, but 2023 saw a significant increase in pediatric cases, with common symptoms including high fever, tachycardia, and vomiting; specific lab results were also noted.

Article Abstract

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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11201606PMC
http://dx.doi.org/10.3390/children11060614DOI Listing

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