Invasive pneumococcal disease in the post vaccine era: Case report

Invasive pneumococcal disease (IPD) is the most severe clinical presentation of infection by Streptococcus pneumoniae. Peru since 2008 includes pneumococcal vaccine in the national immunization schedule. We report a case of a 10 year old girl who goes by emergency showing meningeal signs; in additio...

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Detalles Bibliográficos
Autores: Miranda Choque, Edwin Albino H., Lázaro Ignacio, Edgar Jony
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2016
País:Perú
Institución:Universidad de San Martín de Porres
Repositorio:Horizonte médico
Idioma:español
OAI Identifier:oai:horizontemedico.usmp.edu.pe:article/401
Acceso en línea:https://horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/401
Access Level:acceso abierto
Palabra clave:Meningitis
Neumococo
Vacuna
Pneumococcal
Vaccine
Descripción
Sumario:Invasive pneumococcal disease (IPD) is the most severe clinical presentation of infection by Streptococcus pneumoniae. Peru since 2008 includes pneumococcal vaccine in the national immunization schedule. We report a case of a 10 year old girl who goes by emergency showing meningeal signs; in addition, abdominal pain, infiltrated right basal hilum on chest radiography, presence of peritoneal fluid and peritoneal adenopathy in diagnostic imaging support. It is isolated in blood and CSF cultures Streptococcus pneumoniae serotype 11A, no vaccine-strain, being sensitive to ceftriaxone and vancomycin. We recommend the need to know more about the presence of not vaccine pneumococcal serotypes in the clinical and epidemiological context and its pathogenic role in Peruvian population.