Abstract

Purulent pericarditis is uncommon among paediatric patients and cases caused by group A Streptococcus (GAS) are even rarer. We report a four-month-old female infant who was referred to the Royal Hospital, Muscat, Oman, in 2015 with pericardial effusion and cardiac tamponade. She had initially presented to a secondary hospital with a two-week history of fever, a runny nose and shortness of breath. Blood and pericardial fluid cultures confirmed GAS isolates. The infant was treated with a two-week course of antibiotics and made a complete recovery with no echocardiographical evidence of pericardial effusion at a two-month follow-up. To the best of the authors’ knowledge, this case constitutes the youngest infant to present with GAS pericarditis. As invasive GAS infections can present in infancy, early recognition and treatment is required.

Publication details

DOI
10.18295/squmj.2016.17.02.020
Journal
Sultan Qaboos University Medical Journal, 17(2), 241-243
Publisher
Sultan Qaboos University
Open access
Gold open access
License
CC BY-ND 4.0

Cite this article

APA 7

Al-Waili, B. R., Zacharias, S. K., & Emad (2025). Group A Streptococcal Pericarditis in a Four-Month-Old Infant: Case report. Sultan Qaboos University Medical Journal, 17(2), 241-243. https://doi.org/10.18295/squmj.2016.17.02.020

MLA 9

Al-Waili, Badria R., et al. "Group A Streptococcal Pericarditis in a Four-Month-Old Infant: Case report." Sultan Qaboos University Medical Journal, vol. 17, no. 2, 2025, pp. 241-243. https://doi.org/10.18295/squmj.2016.17.02.020.

Chicago (author–date)

Al-Waili, Badria R., Sunny K. Zacharias, and Emad. 2025. "Group A Streptococcal Pericarditis in a Four-Month-Old Infant: Case report." Sultan Qaboos University Medical Journal 17 (2): 241-243. https://doi.org/10.18295/squmj.2016.17.02.020.

Harvard

Al-Waili, B. R., Zacharias, S. K. and Emad (2025) 'Group A Streptococcal Pericarditis in a Four-Month-Old Infant: Case report', Sultan Qaboos University Medical Journal, 17(2), pp. 241-243. doi:10.18295/squmj.2016.17.02.020.

Vancouver

Al-Waili BR, Zacharias SK, Emad. Group A Streptococcal Pericarditis in a Four-Month-Old Infant: Case report. Sultan Qaboos University Medical Journal. 2025;17(2):241-243. doi:10.18295/squmj.2016.17.02.020

IEEE

B. R. Al-Waili, S. K. Zacharias, and Emad, "Group A Streptococcal Pericarditis in a Four-Month-Old Infant: Case report," Sultan Qaboos University Medical Journal, vol. 17, no. 2, pp. 241-243, 2025, doi: 10.18295/squmj.2016.17.02.020.