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Paediatric Minor facial trauma resulting in invasive Group A streptococcal orofacial infections: two case reports
Author(s) -
Maarouf M.,
Hanji C.,
Mohindra A.,
Shetty S.
Publication year - 2019
Publication title -
oral surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.156
H-Index - 11
eISSN - 1752-248X
pISSN - 1752-2471
DOI - 10.1111/ors.12413
Subject(s) - medicine , streptococcus pyogenes , cellulitis , debridement (dental) , streptococcus , soft tissue , surgery , group a , dermatology , staphylococcus aureus , biology , bacteria , genetics
Invasive Group A Streptococcus infections can be underestimated and develop rapidly into serious necrotising soft tissue infections associated with significant morbidity and mortality. We report two children who presented following minor trauma with Group A Streptococcus infections and tissue necrosis. We retrospectively reviewed two relevant cases illustrating their clinical features, treatment and outcomes. A 5‐year‐old and a 3‐year‐old both sustained innocuous injuries yet presented with significant facial cellulitis, pyrexia, elevated CRP, white cell and neutrophil count. Both had concurrent upper respiratory infective symptoms. Timely surgical debridement and aggressive antimicrobial therapy was provided. Both patients’ cultures grew Group A streptococcus pyogenes. Children presenting with significant systemic reactions following minor trauma must be monitored closely with a high index of suspicion for necrosis of tissues and treated accordingly.