Streptococcus dysgalactiae subspecies equisimilis bacteremic erythroderma in a pediatric patient: A case report and review of literature Eritrodermia con bacteriemia por Streptococcus dysgalactiae subespecie equisimilis en un paciente pediátrico: Reporte

Abstract

© 2014 Sociedad Chilena de Infectologia. All rights reserved. Infections caused by pyogenic streptococci are commons in pediatric ages. However, in the last decades there has been an increase in the isolation of no A or B Streptococci. We report a case of a 6 years old girl, who presents fever for 5 days and erythroderma. Streptococcus dysgalactiae subspecies equisimilis was isolated from blood cultures. She receives antibiotics for 14 days with β-lactams with a good clinic evolution with normalization of the inflammatory parameters. This agent β-hemolítico presents antigens of Lancefield groups A, C and G, and a great similitude regarding virulence factors, with Streptococcus pyogenes. Frequently in old patients, few reported cases in pediatric population. First line treatment remains β-lactam antibiotics for which there are no reports of increasing resistance.