Paediatric case of group A streptococcal pharyngitis, arthritis and osteomyelitis associated with dental neglect

Tomohiro Hiraoka, Taro Chujo, Mitsuru Tsuge, Yoichi Kondo

Research output: Contribution to journalArticlepeer-review

Abstract

Group A streptococcus (GAS) causes a wide variety of infections in the paediatric population, ranging from pharyngitis to rare but severe invasive diseases, such as bacterial arthritis and osteomyelitis. Dental neglect is a type of child neglect in which caregivers fail to provide adequate care and treatment for dental diseases. This results in poor oral hygiene and can lead to complications including sepsis. We report the case of a 4-year-old boy, suffering from child neglect, presenting with GAS pharyngitis and subsequent bacterial arthritis in the right ankle, osteomyelitis in the right talus and abscess in the right calcaneus. He was first treated with penicillin, which was changed to clindamycin because of a suspected drug-induced rash. He was discharged after 6 weeks of intravenous therapy when symptoms had resolved and inflammatory markers were within the normal range. The case highlights that dental neglect may present a risk for subsequent invasive infections.

Original languageEnglish
JournalBMJ Case Reports
Volume14
Issue number1
DOIs
Publication statusPublished - Jan 18 2021

Keywords

  • bone and joint infections
  • child abuse
  • paediatrics

ASJC Scopus subject areas

  • Medicine(all)

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