Streptococcal infection, pediatric

Swedo, S.E., Leonard, H.L., Garvey, M., Mittleman, B., Allen, A.J., Perlmutter, S., Lougee, L., Dow, S., Zamkoff, J., and Dubbert, B.K. (1998) Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections clinical description of the first 50 cases. Am Psychiatry 155 264-271. 

TABLE 14.1 Criteria for Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections... 

PEDIATRIC AUTOIMMUNE NEUROPSYCHIATRIC DISORDERS ASSOCIATED WITH STREPTOCOCCAL INFECTIONS COMORBIDITIES AND FAMILY FINDINGS... 

Kaplan, E.L. and Gerber, M.A. (1998a) Group A, group C and group G beta hemolytic streptococcal infections. In Feigen, R.D. and Cherry, J.D., eds. Textbook of Pediatric Infectious Diseases. Philadelphia W.B. Saunders, pp. 1076—1088. 

B.K. (1998) Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections clinical description of the first 50 cases. Am J Psychiatry 155 264-271. 

Herring E, Gefeller O, Land M, et al. Surfactant treatment of neonates with respiratory failure and group B streptococcal infection. Members of the Collaborative European Multicenter Study Group. Pediatrics 2000 106 957-964. 

American Academy of Pediatrics. Group A streptococcal infections. In Pickering LK, ed. Red Book 2003 Report of the Conunittee on Infectious Diseases, 26th ed. Elk Grove Village, IL, American Academy of Pediatrics 2003 526-536. 

Since staphylococcal and streptococcal cellulitis are indistinguishable clinically," administration of a semisynthetic penicillin (nafcillin or oxacillin) is recommended until a definitive diagnosis, by skin or blood cultures, can be made " " (Table 108-3). Mild to moderate infections not associated with systemic symptoms may be treated orally with dicloxacillin. If documented to be a mild cellulitis secondary to streptococci, oral penicillin VK or intramuscular procaine penicillin may be administered. More severe infections, either staphylococcal or streptococcal, should be treated initially with intravenous antibiotic regimens. Ceftriaxone 50-100 mg/kg as a single daily dose is efficacious in the treatment of celluMs in pediatric patients. The usual duration of therapy for cellulitis is 7 to 10 days. " ... 

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