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Archives de pédiatrie
Volume 8, n° S4
pages 769-775 (septembre 2001)
Doi : S0929-693X(01)80195-0
Les syndromes toxiques staphylococciques et streptococciques pédiatriques de 1998 à 2000. Données du Centre national de référence des toxémies à staphylocoques
Staphylococcal and streptococcal pediatric toxemia in France from 1998 to 2000
 

G. Lina , F. Vandenesch, J. Etienne
Centre national de référence des toxémies à staphylocoques, hôpital Édouard-Herriot, laboratoire central de microbiologie, 5, place d'Arsonval, 69437 Lyon cedex 03, France 

Correspondance.
Résumé

À partir des renseignements cliniques et biologiques colligés de 1998 à 2000 par le Centre national de référence des toxémies à staphylocoques, nous avons recherché quelles étaient les particularités cliniques des toxémies staphylococciques et streptococciques survenant chez les enfants. En absence de politique de déclaration obligatoire de ces syndromes, le nombre de cas déclaré était très faible, ne permettant pas de faire une estimation exacte de leurs incidences en France. Malgré cela, nous avons observé une modification radicale des contextes de survenue de choc toxique staphylococcique et de sa forme mineure la scarlatine staphylococcique. En effet, pratiquement tous les cas sont survenus comme complication d'une infection suppurative, notamment d'infection cutanée comme cela est décrit avec S. pyogenes , et d'infection nosocomiale. De même, presque la totalité des cas de syndrome d'exfoliation staphylococcique était pédiatrique. En revanche, aucune autre particularité originale n'a été mise en évidence pour les autres types de toxémies staphylococciques et streptococciques.

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Abstract

The clinical and microbial settings of staphylococcal and streptococcal toxemia in pediatric patients were investigated by the French National Reference Center for Staphylococcal Toxemia. From 1998 to 2000, the number of cases was low in regard to the usual putative incidence of these toxemia ; this low incidence was probably linked to the passive collection of cases. The most significant finding was the evidence of skin infections as the source of the majorities of staphylococcal toxic shock syndrome and staphylococcal scarlet fever as described for streptococcal toxic shock syndrome or nosocomial suppurative infections. Moreover, most of scalded skin syndrome were from pediatric patients and were exceptional in adults. For other syndromes, no significant original findings were observed.

The full text of this article is available in PDF format.

Mots-clé : choc septique / staphylocoque / streptocoque / toxémie

Keywords : infections / septic shock / staphylococcal infections / streptococcal infections




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