title: [Emergence of invasive nonvaccine pneumococcal serotypes: 2 cases involving 19A and 10A serotypes].
abstract: The authors report 2 cases of invasive pneumococcal disease. One case consisted in occult bacteremia due to a 19A serotype in a child who had received 3 doses and a booster dose of the heptavalent pneumococcal conjugate vaccine (Prevenar). The 2nd case was pneumococcal meningitis due to a 10A serotype. The incidence of nonvaccine serotypes is increasing, notably the 19A serotype. They must be closely monitored because of the high antimicrobial resistance of certain strains.
authors.affiliation: Service de pédiatrie, hôpital André-Grégoire, 56 boulevard de la Boissière, Montreuil, France. patrice.ferre@chi-andre-gregoire.fr
authors.forename: P
authors.initials: P
authors.lastname: Ferré
authors.forename: P
authors.initials: P
authors.lastname: Daoud
authors.forename: N
authors.initials: N
authors.lastname: Zemouri
mesh_terms: D016470:Bacteremia / Q000382:microbiology*; D005260:Female; D000069443:Heptavalent Pneumococcal Conjugate Vaccine; D006801:Humans; D007223:Infant; D008586:Meningitis, Pneumococcal / Q000382:microbiology*; D011008:Pneumococcal Infections / Q000382:microbiology*; D022242:Pneumococcal Vaccines; D012703:Serotyping; D013296:Streptococcus pneumoniae / Q000145:classification*
chemical_list: D000069443:Heptavalent Pneumococcal Conjugate Vaccine; D022242:Pneumococcal Vaccines