Zapalenie opon mózgowo-rdzeniowych o etiologii Streptococcus pyogenes – opis przypadku

Meningitis due to group A streptococci (GAS) is an uncommon manifestation of invasive streptococcal disease. Meningitis is associated with infectious foci of the upper respiratory tract, mainly otitis media. In children without acute infection Streptococcus pyogenes often colonize nosopharynx. The antibiotic of choice for the treatment of streptoccocal meningitis is penicillin. We present the case of a 5-year-old boy with GAS meningitis. His history presented recurrent otitis media. From throat and cerebrospinal fluid cultures was isolated the same GAS, which belongs to M1 serotype, the most prevalent in Poland. Treatment with cefotaxim and penicillin was given. The patient recovered, without any neurological deficiency.