Jouhadi Z, Sadiki H, Hafid I, Najib J
Service de pédiatrie infectieuse et d'immunologie clinique, hôpital d'Enfants de Casablanca, CHU Ibn Rochd, 20000 Casablanca, Maroc.
Arch Pediatr. 2013 Mar;20(3):282-5. doi: 10.1016/j.arcped.2013.01.002. Epub 2013 Jan 30.
Streptococcus intermedius is a member of the Streptococcus anginosus group, also known as the Streptococcus milleri group. Although this is a commensal agent of the mouth and upper airways, it has been recognized as an important pathogen in the formation of abscesses. However, it has rarely been involved in the formation of brain abscess in children. We report 4 pediatric cases of brain abscess caused by S. intermedius. Three boys and 1 girl, all aged over 2 years, were admitted for a febrile meningeal syndrome and seizures, caused by a S. intermedius brain abscess. Diagnosis was obtained by brain imaging combined with culture of cerebrospinal fluid. The outcome was favorable after antibiotic therapy and abscess puncture. S. intermedius should be considered a potential pathogen involved in the development of brain abscess in children.
中间型链球菌是咽峡炎链球菌群的成员,也被称为米勒链球菌群。尽管它是口腔和上呼吸道的共生菌,但已被公认为脓肿形成中的重要病原体。然而,它很少参与儿童脑脓肿的形成。我们报告了4例由中间型链球菌引起的儿童脑脓肿病例。3名男孩和1名女孩,年龄均超过2岁,因中间型链球菌脑脓肿导致发热性脑膜综合征和癫痫发作入院。通过脑成像结合脑脊液培养进行诊断。经抗生素治疗和脓肿穿刺后,预后良好。中间型链球菌应被视为儿童脑脓肿发展过程中的潜在病原体。