PEDIATRICS Vol. 87 No. 5 May 1991, pp. 734-735
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Subpectoral Abscess Caused by Group A beta-Hemolytic Streptococci

MOBEEN H. RATHORE MD1, LESLIE L. BARTON MD2, and MICHAEL SILBERSTIEN MD3

1 From the Department of Pediatrics, Saint Louis University School of Medicine, Saint Louis, Missouri
2 From the Department of Pediatrics, University of Arizona Health Sciences Center, Tucson, Arizona
3 From the Departments of Pediatrics and Radiology, Saint Louis University School of Medicine, Saint Louis, Missouri

The recent resurgence of group A beta-hemolytic streptococcus (GABHS) as a major pathogen has resulted in an increase in both suppurative1 and nonsuppurative2 complications of infection with this organism. We have seen recently several unusual manifestations of GABHS infection, and we wish to report one rarely described syndrome. It is anticipated that recognition of the latter entity will result in prompt and appropriate antibiotic treatment.

CASE

A 22-month-old boy was admitted to the hospital following a 4-day history of fever and a 1-day history of right pectoral and axillary swelling. He had a history of falling and injuring his pectoral and axillary areas the day before admission.

Submitted on October 29, 1990
Accepted on December 10, 1990