CNS Complication of Group A Streptococcal Meningitis in Children: a Comprehensive Case-Based Literature Review

Abstract

Group A Streptococcus pyogenes meningitis rarely results in central nervous system
complication. Chronic hydrocephalus is a well-known complication of bacterial meningitis. To
date, no reports have focused on acute central nervous system complications and neurological
outcome of Group A Streptococcus pyogenes meningitis. An unusual association of acute hydrocephalus requiring emergent neurosurgical intervention in a 6-year-old girl with Group
A Streptococcus meningitis is presented. Based on reported cases since 1966, authors present
the results of a comprehensive acute neurological complication and outcome. Our report highlights a need for vigilance and timely needed emergent surgical intervention in minimizing
acute hydrocephalus in children with Group A Streptococcus meningitis.