Group A streptococcal meningitis: report of a case and review of literature since 1976

Pediatr Emerg Care. 2001 Dec;17(6):430-4. doi: 10.1097/00006565-200112000-00007.


Group A streptococcal (GAS) invasive disease has become increasingly common in recent years. However, acute bacterial meningitis caused by this pathogen is unusual. We report a case of GAS meningitis in a previously healthy 21/2-year-old child associated with a dramatically rapid course and fatal outcome. A literature review of previously reported cases is presented. This case serves as a reminder that GAS can cause severe meningitis in otherwise healthy hosts.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adolescent
  • Adult
  • Causality
  • Ceftriaxone / therapeutic use
  • Child
  • Child, Preschool
  • Drug Therapy, Combination
  • Fatal Outcome
  • Female
  • Humans
  • Infant
  • Male
  • Meningitis, Bacterial* / diagnosis
  • Meningitis, Bacterial* / epidemiology
  • Meningitis, Bacterial* / microbiology
  • Meningitis, Bacterial* / therapy
  • Penicillins / therapeutic use
  • Streptococcus pyogenes*
  • Vancomycin / therapeutic use


  • Penicillins
  • Vancomycin
  • Ceftriaxone