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Archives de pédiatrie
Volume 21, n° S2
pages 104-106 (novembre 2014)
Doi : 10.1016/S0929-693X(14)72271-7
Atteinte multifocale d’une infection invasive à Streptococcus pyogenes : observation d’un nourrisson de 20 mois
Multifocal invasive infection due to Streptococcus pyogenes in a 20 months-old infant : case report

L. Panetta , C. Manteau
 Service de pédiatrie, centre hospitalier de Valence, 179, avenue du Maréchal-Juin, 26000 Valence, France 

*Auteur correspondant.

Nous rapportons le cas d’une infection invasive à S. pyogenes présentant des atteintes multifocales à la fois articulaires et cutanées chez un nourrisson de 20 mois dont l’évolution a été favorable après mise en œuvre d’un traitement médico-chirurgical adapté. Le traitement antibiotique a reposé sur l’association amoxicilline et clindamycine dont les modalités d’administration et la durée ont tenu compte de l’évolution clinique et des localisations secondaires. Une prise en charge chirurgicale avec lavage-drainage de l’articulation atteinte s’est avérée nécessaire pour obtenir la guérison complète.

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This case report describes a 20 months-old toddler with a multifocal S. pyogenes invasive infection cutaneous and articular, which outcome was favorable after implementation of a medical and surgical treatment. The antibiotic treatment was based on the association of amoxicillin and clindamycin which duration was guided by the clinical course and the secondary locations. A surgical management with joint irrigation lavage and drainage was necessary to induce a complete recovery.

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