Tk. Mattoo et al., GROUP-A BETA-HEMOLYTIC STREPTOCOCCAL INFECTION AND HENOCH-SCHONLEIN-PURPURA WITH CARDIAC, RENAL AND NEUROLOGICAL COMPLICATIONS, Annals of tropical paediatrics, 17(4), 1997, pp. 381-386
A 6-year-old girl had a group A beta-haemolytic streptococcal (GABS) t
hroat infection and Henoch-Schonlein purpura (HSP). The clinical cours
e was complicated by nephrotic syndrome due to crescentic glomerulonep
hritis, transient neurological symptoms due to focal ischaemia of the
brain, and congestive cardiac failure due to myocarditis. The clinical
presentation highlights the diversity of systemic involvement in HSP,
the transient nature of apparently serious central nervous system inv
olvement, and a possible role of GABS in its aetiology.