Life-threatening complications of streptococcal sepsis: a PICU contemporary series
Background Life-threatening streptococcal sepsis nowadays represents an uncommon event in previously healthy infants and children. Critically ill patients suffering from severe streptococcal sepsis complications may present with pre-antibiotic era clinical pictures and require a timely clinical appr...
Ausführliche Beschreibung
Autor*in: |
Piastra, M. [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2021 |
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Schlagwörter: |
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Anmerkung: |
© The Author(s) 2021 |
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Übergeordnetes Werk: |
Enthalten in: Journal of Anesthesia, Analgesia and Critical Care - BioMed Central, 2023, 1(2021), 1 vom: 14. Dez. |
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Übergeordnetes Werk: |
volume:1 ; year:2021 ; number:1 ; day:14 ; month:12 |
Links: |
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DOI / URN: |
10.1186/s44158-021-00028-1 |
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Katalog-ID: |
SPR050358200 |
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520 | |a Background Life-threatening streptococcal sepsis nowadays represents an uncommon event in previously healthy infants and children. Critically ill patients suffering from severe streptococcal sepsis complications may present with pre-antibiotic era clinical pictures and require a timely clinical approach to achieve restitutio ad integrum. Results We report a series of four patient groups affected by an uncommon life-threatening streptococcal sepsis, each of them exhibiting some distinct features. Streptococcus Agalactiae sepsis was associated with cerebral thrombotic/ischaemic lesions, whereas severe cardiogenic shock was prominent in the Streptococcus Viridans group; Streptococcus Faecalis and β-hemolytic group A Streptococcus patients mostly reported lung complications. Conclusions Previous antibiotic treatments should not delay aggressive treatment in the intensive care setting. Early diagnostic suspicion, as well as appropriate and aggressive treatment provided within an intensive care setting are crucial for the clinical outcome. | ||
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650 | 4 | |a Intensive care |7 (dpeaa)DE-He213 | |
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700 | 1 | |a Conti, G. |4 aut | |
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10.1186/s44158-021-00028-1 doi (DE-627)SPR050358200 (SPR)s44158-021-00028-1-e DE-627 ger DE-627 rakwb eng Piastra, M. verfasserin aut Life-threatening complications of streptococcal sepsis: a PICU contemporary series 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2021 Background Life-threatening streptococcal sepsis nowadays represents an uncommon event in previously healthy infants and children. Critically ill patients suffering from severe streptococcal sepsis complications may present with pre-antibiotic era clinical pictures and require a timely clinical approach to achieve restitutio ad integrum. Results We report a series of four patient groups affected by an uncommon life-threatening streptococcal sepsis, each of them exhibiting some distinct features. Streptococcus Agalactiae sepsis was associated with cerebral thrombotic/ischaemic lesions, whereas severe cardiogenic shock was prominent in the Streptococcus Viridans group; Streptococcus Faecalis and β-hemolytic group A Streptococcus patients mostly reported lung complications. Conclusions Previous antibiotic treatments should not delay aggressive treatment in the intensive care setting. Early diagnostic suspicion, as well as appropriate and aggressive treatment provided within an intensive care setting are crucial for the clinical outcome. Streptococcal sepsis complications (dpeaa)DE-He213 Intensive care (dpeaa)DE-He213 Mechanical ventilation (dpeaa)DE-He213 Septic shock (dpeaa)DE-He213 Tissue tropism phenotypes (dpeaa)DE-He213 Ferrari, V. (orcid)0000-0002-4395-9356 aut Picconi, E. aut Morena, T. C. aut Pezza, L. aut De Rosa, G. aut Fedele, M. C. aut Genovese, O. aut Onesimo, R. aut Tempera, A. aut Valentini, P. aut Buonsenso, D. aut Visconti, F. aut Zito, G. aut Benassi, C. aut Conti, G. aut Enthalten in Journal of Anesthesia, Analgesia and Critical Care BioMed Central, 2023 1(2021), 1 vom: 14. Dez. (DE-627)1774283131 2731-3786 nnns volume:1 year:2021 number:1 day:14 month:12 https://dx.doi.org/10.1186/s44158-021-00028-1 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 1 2021 1 14 12 |
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10.1186/s44158-021-00028-1 doi (DE-627)SPR050358200 (SPR)s44158-021-00028-1-e DE-627 ger DE-627 rakwb eng Piastra, M. verfasserin aut Life-threatening complications of streptococcal sepsis: a PICU contemporary series 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2021 Background Life-threatening streptococcal sepsis nowadays represents an uncommon event in previously healthy infants and children. Critically ill patients suffering from severe streptococcal sepsis complications may present with pre-antibiotic era clinical pictures and require a timely clinical approach to achieve restitutio ad integrum. Results We report a series of four patient groups affected by an uncommon life-threatening streptococcal sepsis, each of them exhibiting some distinct features. Streptococcus Agalactiae sepsis was associated with cerebral thrombotic/ischaemic lesions, whereas severe cardiogenic shock was prominent in the Streptococcus Viridans group; Streptococcus Faecalis and β-hemolytic group A Streptococcus patients mostly reported lung complications. Conclusions Previous antibiotic treatments should not delay aggressive treatment in the intensive care setting. Early diagnostic suspicion, as well as appropriate and aggressive treatment provided within an intensive care setting are crucial for the clinical outcome. Streptococcal sepsis complications (dpeaa)DE-He213 Intensive care (dpeaa)DE-He213 Mechanical ventilation (dpeaa)DE-He213 Septic shock (dpeaa)DE-He213 Tissue tropism phenotypes (dpeaa)DE-He213 Ferrari, V. (orcid)0000-0002-4395-9356 aut Picconi, E. aut Morena, T. C. aut Pezza, L. aut De Rosa, G. aut Fedele, M. C. aut Genovese, O. aut Onesimo, R. aut Tempera, A. aut Valentini, P. aut Buonsenso, D. aut Visconti, F. aut Zito, G. aut Benassi, C. aut Conti, G. aut Enthalten in Journal of Anesthesia, Analgesia and Critical Care BioMed Central, 2023 1(2021), 1 vom: 14. Dez. (DE-627)1774283131 2731-3786 nnns volume:1 year:2021 number:1 day:14 month:12 https://dx.doi.org/10.1186/s44158-021-00028-1 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 1 2021 1 14 12 |
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10.1186/s44158-021-00028-1 doi (DE-627)SPR050358200 (SPR)s44158-021-00028-1-e DE-627 ger DE-627 rakwb eng Piastra, M. verfasserin aut Life-threatening complications of streptococcal sepsis: a PICU contemporary series 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2021 Background Life-threatening streptococcal sepsis nowadays represents an uncommon event in previously healthy infants and children. Critically ill patients suffering from severe streptococcal sepsis complications may present with pre-antibiotic era clinical pictures and require a timely clinical approach to achieve restitutio ad integrum. Results We report a series of four patient groups affected by an uncommon life-threatening streptococcal sepsis, each of them exhibiting some distinct features. Streptococcus Agalactiae sepsis was associated with cerebral thrombotic/ischaemic lesions, whereas severe cardiogenic shock was prominent in the Streptococcus Viridans group; Streptococcus Faecalis and β-hemolytic group A Streptococcus patients mostly reported lung complications. Conclusions Previous antibiotic treatments should not delay aggressive treatment in the intensive care setting. Early diagnostic suspicion, as well as appropriate and aggressive treatment provided within an intensive care setting are crucial for the clinical outcome. Streptococcal sepsis complications (dpeaa)DE-He213 Intensive care (dpeaa)DE-He213 Mechanical ventilation (dpeaa)DE-He213 Septic shock (dpeaa)DE-He213 Tissue tropism phenotypes (dpeaa)DE-He213 Ferrari, V. (orcid)0000-0002-4395-9356 aut Picconi, E. aut Morena, T. C. aut Pezza, L. aut De Rosa, G. aut Fedele, M. C. aut Genovese, O. aut Onesimo, R. aut Tempera, A. aut Valentini, P. aut Buonsenso, D. aut Visconti, F. aut Zito, G. aut Benassi, C. aut Conti, G. aut Enthalten in Journal of Anesthesia, Analgesia and Critical Care BioMed Central, 2023 1(2021), 1 vom: 14. Dez. (DE-627)1774283131 2731-3786 nnns volume:1 year:2021 number:1 day:14 month:12 https://dx.doi.org/10.1186/s44158-021-00028-1 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 1 2021 1 14 12 |
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10.1186/s44158-021-00028-1 doi (DE-627)SPR050358200 (SPR)s44158-021-00028-1-e DE-627 ger DE-627 rakwb eng Piastra, M. verfasserin aut Life-threatening complications of streptococcal sepsis: a PICU contemporary series 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2021 Background Life-threatening streptococcal sepsis nowadays represents an uncommon event in previously healthy infants and children. Critically ill patients suffering from severe streptococcal sepsis complications may present with pre-antibiotic era clinical pictures and require a timely clinical approach to achieve restitutio ad integrum. Results We report a series of four patient groups affected by an uncommon life-threatening streptococcal sepsis, each of them exhibiting some distinct features. Streptococcus Agalactiae sepsis was associated with cerebral thrombotic/ischaemic lesions, whereas severe cardiogenic shock was prominent in the Streptococcus Viridans group; Streptococcus Faecalis and β-hemolytic group A Streptococcus patients mostly reported lung complications. Conclusions Previous antibiotic treatments should not delay aggressive treatment in the intensive care setting. Early diagnostic suspicion, as well as appropriate and aggressive treatment provided within an intensive care setting are crucial for the clinical outcome. Streptococcal sepsis complications (dpeaa)DE-He213 Intensive care (dpeaa)DE-He213 Mechanical ventilation (dpeaa)DE-He213 Septic shock (dpeaa)DE-He213 Tissue tropism phenotypes (dpeaa)DE-He213 Ferrari, V. (orcid)0000-0002-4395-9356 aut Picconi, E. aut Morena, T. C. aut Pezza, L. aut De Rosa, G. aut Fedele, M. C. aut Genovese, O. aut Onesimo, R. aut Tempera, A. aut Valentini, P. aut Buonsenso, D. aut Visconti, F. aut Zito, G. aut Benassi, C. aut Conti, G. aut Enthalten in Journal of Anesthesia, Analgesia and Critical Care BioMed Central, 2023 1(2021), 1 vom: 14. Dez. (DE-627)1774283131 2731-3786 nnns volume:1 year:2021 number:1 day:14 month:12 https://dx.doi.org/10.1186/s44158-021-00028-1 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 1 2021 1 14 12 |
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10.1186/s44158-021-00028-1 doi (DE-627)SPR050358200 (SPR)s44158-021-00028-1-e DE-627 ger DE-627 rakwb eng Piastra, M. verfasserin aut Life-threatening complications of streptococcal sepsis: a PICU contemporary series 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2021 Background Life-threatening streptococcal sepsis nowadays represents an uncommon event in previously healthy infants and children. Critically ill patients suffering from severe streptococcal sepsis complications may present with pre-antibiotic era clinical pictures and require a timely clinical approach to achieve restitutio ad integrum. Results We report a series of four patient groups affected by an uncommon life-threatening streptococcal sepsis, each of them exhibiting some distinct features. Streptococcus Agalactiae sepsis was associated with cerebral thrombotic/ischaemic lesions, whereas severe cardiogenic shock was prominent in the Streptococcus Viridans group; Streptococcus Faecalis and β-hemolytic group A Streptococcus patients mostly reported lung complications. Conclusions Previous antibiotic treatments should not delay aggressive treatment in the intensive care setting. Early diagnostic suspicion, as well as appropriate and aggressive treatment provided within an intensive care setting are crucial for the clinical outcome. Streptococcal sepsis complications (dpeaa)DE-He213 Intensive care (dpeaa)DE-He213 Mechanical ventilation (dpeaa)DE-He213 Septic shock (dpeaa)DE-He213 Tissue tropism phenotypes (dpeaa)DE-He213 Ferrari, V. (orcid)0000-0002-4395-9356 aut Picconi, E. aut Morena, T. C. aut Pezza, L. aut De Rosa, G. aut Fedele, M. C. aut Genovese, O. aut Onesimo, R. aut Tempera, A. aut Valentini, P. aut Buonsenso, D. aut Visconti, F. aut Zito, G. aut Benassi, C. aut Conti, G. aut Enthalten in Journal of Anesthesia, Analgesia and Critical Care BioMed Central, 2023 1(2021), 1 vom: 14. Dez. (DE-627)1774283131 2731-3786 nnns volume:1 year:2021 number:1 day:14 month:12 https://dx.doi.org/10.1186/s44158-021-00028-1 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 1 2021 1 14 12 |
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Life-threatening complications of streptococcal sepsis: a PICU contemporary series Streptococcal sepsis complications (dpeaa)DE-He213 Intensive care (dpeaa)DE-He213 Mechanical ventilation (dpeaa)DE-He213 Septic shock (dpeaa)DE-He213 Tissue tropism phenotypes (dpeaa)DE-He213 |
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Piastra, M. Ferrari, V. Picconi, E. Morena, T. C. Pezza, L. De Rosa, G. Fedele, M. C. Genovese, O. Onesimo, R. Tempera, A. Valentini, P. Buonsenso, D. Visconti, F. Zito, G. Benassi, C. Conti, G. |
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life-threatening complications of streptococcal sepsis: a picu contemporary series |
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Life-threatening complications of streptococcal sepsis: a PICU contemporary series |
abstract |
Background Life-threatening streptococcal sepsis nowadays represents an uncommon event in previously healthy infants and children. Critically ill patients suffering from severe streptococcal sepsis complications may present with pre-antibiotic era clinical pictures and require a timely clinical approach to achieve restitutio ad integrum. Results We report a series of four patient groups affected by an uncommon life-threatening streptococcal sepsis, each of them exhibiting some distinct features. Streptococcus Agalactiae sepsis was associated with cerebral thrombotic/ischaemic lesions, whereas severe cardiogenic shock was prominent in the Streptococcus Viridans group; Streptococcus Faecalis and β-hemolytic group A Streptococcus patients mostly reported lung complications. Conclusions Previous antibiotic treatments should not delay aggressive treatment in the intensive care setting. Early diagnostic suspicion, as well as appropriate and aggressive treatment provided within an intensive care setting are crucial for the clinical outcome. © The Author(s) 2021 |
abstractGer |
Background Life-threatening streptococcal sepsis nowadays represents an uncommon event in previously healthy infants and children. Critically ill patients suffering from severe streptococcal sepsis complications may present with pre-antibiotic era clinical pictures and require a timely clinical approach to achieve restitutio ad integrum. Results We report a series of four patient groups affected by an uncommon life-threatening streptococcal sepsis, each of them exhibiting some distinct features. Streptococcus Agalactiae sepsis was associated with cerebral thrombotic/ischaemic lesions, whereas severe cardiogenic shock was prominent in the Streptococcus Viridans group; Streptococcus Faecalis and β-hemolytic group A Streptococcus patients mostly reported lung complications. Conclusions Previous antibiotic treatments should not delay aggressive treatment in the intensive care setting. Early diagnostic suspicion, as well as appropriate and aggressive treatment provided within an intensive care setting are crucial for the clinical outcome. © The Author(s) 2021 |
abstract_unstemmed |
Background Life-threatening streptococcal sepsis nowadays represents an uncommon event in previously healthy infants and children. Critically ill patients suffering from severe streptococcal sepsis complications may present with pre-antibiotic era clinical pictures and require a timely clinical approach to achieve restitutio ad integrum. Results We report a series of four patient groups affected by an uncommon life-threatening streptococcal sepsis, each of them exhibiting some distinct features. Streptococcus Agalactiae sepsis was associated with cerebral thrombotic/ischaemic lesions, whereas severe cardiogenic shock was prominent in the Streptococcus Viridans group; Streptococcus Faecalis and β-hemolytic group A Streptococcus patients mostly reported lung complications. Conclusions Previous antibiotic treatments should not delay aggressive treatment in the intensive care setting. Early diagnostic suspicion, as well as appropriate and aggressive treatment provided within an intensive care setting are crucial for the clinical outcome. © The Author(s) 2021 |
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