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Archives de pédiatrie
Volume 21, n° S2
pages 101-103 (novembre 2014)
Doi : 10.1016/S0929-693X(14)72270-5
Caractéristiques des méningites à streptocoque du groupe A de l’enfant
Characteristics of group A streptococcal meningitis in children
 

C. Levy 1, 2, 3, , Ph. Bidet 4, 5, S. Bonacorsi 4, 5, S. Béchet 2, R. Cohen 1, 2, 3, 6
1 Groupe de pathologie infectieuse pédiatrique (GPIP) de la Société française de pédiatrie, CHU Lenval, 57, avenue de la Californie, 06200 Nice, France 
2 ACTIV (Association clinique et thérapeutique infantile du Val-de-Marne), 27, rue Inkermann, 94100 Saint-Maur-des-Fossés, France 
3 Centre de recherche clinique (CRC) et Centre hospitalier intercommunal (CHI), 40, avenue de Verdun, 94010 Créteil, France 
4 Unité court séjour, petits nourrissons, service de néonatologie, CHI de Créteil, 40, avenue de Verdun, 94010 Créteil, France 
5 Université Paris-Diderot, PRES Sorbonne-Paris-Cité, 46, rue Henri-Huchard, 75018 Paris, France 
6 Service de microbiologie, hôpital Robert-Debré (AP-HP), 48, boulevard Sérurier, 75019 Paris, France 

*Auteur correspondant.
Résumé

Les méningites dues au streptocoque du groupe A (SGA) chez l’enfant sont rares. Le but de cette étude est d’analyser les éléments cliniques, biologiques et évolutifs des méningites à SGA rapportées dans l’Observatoire national des méningites bactériennes de l’enfant.

Entre janvier 2001 et décembre 2012, 4 564 méningites bactériennes ont été rapportées, dont 35 (0,7 %) étaient à SGA. L’âge médian des enfants était de 5,6 ans. L’histoire clinique retrouvait fréquemment une infection communautaire précédant la méningite. En dehors de l’identification de l’espèce bactérienne, aucune caractéristique clinique ou biologique ne permettait de distinguer ces méningites à SGA d’autres bactéries en particulier du pneumocoque. Le taux de mortalité était de 8 %.

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

Group A streptococcal (GAS) meningitis in children are rare. The aim of this study was to analyze the clinical, biological and outcome data on GAS meningitis recorded in the Bacterial Meningitis (BM) French Surveillance Network (GPIP/ACTIV).

From 2001 through 2012, 4,564 children suffering from proven bacterial meningitis were recorded in the data base. Among them, 0.7 % were GAS infections. The median age was 5.6 years. A history of community acquired infection before the onset of GAS meningitis was frequent. Apart from the identification of the bacterial species, GAS meningitis were clinically and biologically indistinguishable from meningitis caused by other pathogens notably S. pneumoniae . Case fatality rate was 8 %.

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