Pediatric Infection and Vaccine

The Korean Society of Pediatric Infectious Diseases (대한소아감염학회)
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A Case of Neonatal Meningitis Caused by Streptococcus dysgalactiae subspecies dysgalactiae and Herpes Simplex Virus

Streptococcus dysgalactiae subspecies dysgalactiae와 Herpes Simplex Virus에 의한 신생아 수막염 1예

  • Im, Geeyae (Department of Pediatrics, College of Medicine, The Catholic University of Korea, Incheon St. Mary's Hospital) ;
  • Park, Yoonseon (Department of Pediatrics, College of Medicine, The Catholic University of Korea, Incheon St. Mary's Hospital) ;
  • Kim, Minsung (Department of Pediatrics, College of Medicine, The Catholic University of Korea, Incheon St. Mary's Hospital) ;
  • Kim, Ki Hwan (Department of Pediatrics, College of Medicine, The Catholic University of Korea, Incheon St. Mary's Hospital) ;
  • Kim, Sang Yong (Department of Pediatrics, College of Medicine, The Catholic University of Korea, Incheon St. Mary's Hospital) ;
  • Chung, Seung Yun (Department of Pediatrics, College of Medicine, The Catholic University of Korea, Incheon St. Mary's Hospital)
  • 임지예 (가톨릭대학교 의과대학 소아과학교실 인천성모병원) ;
  • 박윤선 (가톨릭대학교 의과대학 소아과학교실 인천성모병원) ;
  • 김민성 (가톨릭대학교 의과대학 소아과학교실 인천성모병원) ;
  • 김기환 (가톨릭대학교 의과대학 소아과학교실 인천성모병원) ;
  • 김상용 (가톨릭대학교 의과대학 소아과학교실 인천성모병원) ;
  • 정승연 (가톨릭대학교 의과대학 소아과학교실 인천성모병원)
  • Received : 2018.10.10
  • Accepted : 2019.05.21
  • Published : 2019.12.25
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Abstract

Streptococcus dysgalactiae has two main subspecies: S. dysgalactiae subsp. equisimilis (SDSE) and S. dysgalactiae subsp. dysgalactiae (SDSD). SDSE often colonizes and causes infections in humans; however, SDSD is an animal pathogen which often causes pyogenic infection in domestic animals. We present a case of meningitis with SDSD and herpes simplex virus in a 22-day-old newborn baby who had no exposure to animals.

Streptococcus dysgalactiae subsp. dysgalactiae (SDSD)에 의한 사람 감염병을 보고한 사례가 많지 않으며, S. dysgalactiae subsp. equisimilis (SDSE)에 의한 감염병이 대부분이다. 저자들은 생후 22일 된 신생아에서 SDSD와 단순포진 바이러스의 동시감염에 의한 수막염을 경험하였으며, 뇌경색 및 경막하삼출 등이 합병되어 총 4주간의 항균제를 투여하고 치료를 완료하였다. 본 증례의 원인 균주가 소아의 침습감염의 원인으로 알려진 바가 없으나, 오염된 동물을 통한 감염 뿐 아니라, 돌발 감염의 원인균이 될 수 있을 것으로 생각되어 1예를 보고하는 바이다.

Keywords

References

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