14,209 results match your criteria: "Streptococcus Group A Infections"

Streptococcus pyogenes: An Unusual Cause of Urethritis.

Cureus

September 2024

Infectious Diseases Department, Unidade Local de Saúde Gaia e Espinho, Vila Nova De Gaia, PRT.

Article Synopsis
  • Nongonococcal urethritis is a common infection in men, but this case highlights its rare association as a cause of urethritis.
  • A healthy 31-year-old man exhibited symptoms including urethritis and penile ulcers, with tests revealing infection by a specific organism and herpes simplex virus 2.
  • The patient was successfully treated with amoxicillin and acyclovir, emphasizing the need for accurate microbiological testing in diagnosing and treating urethritis.
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Novel motif associated with carbon catabolite repression in two major Gram-positive pathogen virulence regulatory proteins.

Microbiol Spectr

November 2024

Department of Biopharmaceutical Sciences, Center for Biomolecular Sciences, College of Pharmacy, University of Illinois at Chicago, Chicago, Illinois, USA.

Carbon catabolite repression (CCR) is a widely conserved regulatory process that ensures enzymes and transporters of less-preferred carbohydrates are transcriptionally repressed in the presence of a preferred carbohydrate. This phenomenon can be regulated via a CcpA-dependent or CcpA-independent mechanism. The CcpA-independent mechanism typically requires a transcriptional regulator harboring a phosphotransferase regulatory domain (PRD) that interacts with phosphoransferase ystem (PTS) components.

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Objectives: Genetic characterization of the antibiotic resistance determinants and associated mobile genetic elements (MGEs) among Streptococcus pyogenes [Group A streptococci (GAS)] clinical isolates of an M77 serotype collected in Poland between 2003 and 2017.

Methods: The genomes of 136 M77 GAS isolates were sequenced using Illumina, and selected with long-read approach (Oxford Nanopore). Whole genome sequences were analyzed to determine the presence of macrolide resistance determinants, and their genetic context.

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Nanozyme linked multi-array gas driven sensor for real-time quantitative detection of .

Analyst

November 2024

Department of Laboratory Medicine, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou 510630, China.

() is a pathogen typically transmitted through respiratory droplets and skin contact, causing an estimated 700 million mild non-invasive infections worldwide each year. There are approximately 650 000 infections that progress to severe invasive infections, even resulting in death. Therefore, the ability to detect rapidly, accurately and in real time is important.

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Background: Rising incidence of invasive beta-haemolytic streptococcal (iBHS) infections has prompted consideration of vaccination as a preventative strategy for at-risk populations. The benefits of a vaccine targeting Lancefield group A (Streptococcus pyogenes; Strep A) would increase if cross-species immunity against Lancefield groups C/G (Streptococcus dysgalactiae subspecies equisimilis; SDSE) and B (Streptococcus agalactiae; GBS) was demonstrated.

Methods: A prospective, observational study of adult patients with iBHS infections due to Strep A, SDSE or GBS.

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Group A Streptococcus (GAS) empyema, though rare in adults, poses serious clinical challenges. We present two cases of GAS-induced right empyema in immunocompetent patients. Case 1 involved a 45-year-old female Chinese healthcare worker with persistent pleural effusion despite antibiotic therapy.

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Article Synopsis
  • - A 57-year-old healthy Canadian man developed severe invasive group A Streptococcus (GAS) diseases like necrotizing fasciitis and myositis after hiking in the Gobi Desert, leading to Streptococcal Toxic Shock-Like Syndrome (STSS).
  • - Despite comprehensive treatment, including antimicrobial therapy and surgery, he ultimately required amputation of his right leg but managed to recover after 43 days in the hospital.
  • - Whole-genome sequencing revealed the presence of 15 virulence factors in the strain and highlighted the need for early detection and intervention for invasive GAS infections, particularly the concerning 22/ST46 variant in China.
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The intricate pathogenicity of Group A : A comprehensive update.

Virulence

December 2024

Division of Host-Microbe Systems and Therapeutics, Department of Pediatrics, University of California, San Diego School of Medicine, La Jolla, CA, USA.

Article Synopsis
  • Group A Streptococcus (GAS) is a complex pathogen that affects various human tissues and has recently been shown to spread through the air and interact with the nervous system.
  • It induces severe inflammation by utilizing inflammasomes and immune system manipulation, allowing it to evade detection and destruction by the host's immune defenses.
  • The study highlights GAS's unique mechanisms for surviving in the body, including genome editing to counteract viruses, while exploring the paradox of immune responses where stronger reactions can lead to worse outcomes in infections.
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Carrier rates of group A streptococci in Australian wet tropics and their impact on the clinical usefulness of throat swabs.

Aust J Gen Pract

October 2024

MBChB, FRACGP, PhD, Professor in General Practice, College of Medicine and Dentistry, James Cook University, Mackay, Qld.

Article Synopsis
  • The study focused on assessing the effectiveness of rapid point-of-care tests (POCT) for detecting group A streptococci (GAS) in patients with sore throats and evaluating GAS carrier rates in the wet tropics.* -
  • Among 77 patients and 49 healthy controls, GAS carrier rates were found to be 8.3% in healthy children and 2.7% in adults, with high positive etiological predictive values (P-EPV) of 71% for children and 85% for adults.* -
  • The negative etiological predictive values (N-EPV) were very high at 99% for both groups, suggesting that the test could effectively rule out GAS and help to
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Article Synopsis
  • Scabies is prevalent in resource-poor settings and is often misdiagnosed; laboratory confirmations can enhance diagnostic accuracy, while secondary bacterial infections complicate treatment and contribute to antibiotic resistance.
  • A study in Northeast Ethiopia involving 422 suspected scabies cases revealed that 37% were confirmed microscopically, with bed-sharing and contact history being key risk factors; additionally, 36% of those confirmed had secondary bacterial infections.
  • Common bacteria identified included Staphylococcus aureus and Streptococcus pyogenes, with notable resistance to tetracycline and ampicillin, indicating a concerning trend of multidrug resistance in both Gram-positive and Gram-negative bacteria.
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Article Synopsis
  • A study investigated the impact of COVID-19 health measures on the prevalence of asymptomatic Streptococcus pyogenes (GAS) carriage among schoolchildren in the southern West Bank, Palestine, comparing data from before and after the pandemic.
  • Results showed a significant decline in GAS carriage from 15.7% pre-COVID-19 to 10.4% post-COVID-19, particularly among urban and medium socioeconomic children.
  • Protective factors against GAS carriage included frequent hand washing and tooth brushing, while a higher BMI was identified as a risk factor.
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In Streptococcus pyogenes, the type II fatty acid (FA) synthesis pathway FASII is feedback-controlled by the FabT repressor bound to an acyl-Acyl carrier protein. Although FabT defects confer reduced virulence in animal models, spontaneous fabT mutants arise in vivo. We resolved this paradox by characterizing the conditions and mechanisms requiring FabT activity, and those promoting fabT mutant emergence.

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Article Synopsis
  • After COVID-19 restrictions were lifted in 2022, the incidence of invasive group A streptococcal (iGAS) infections increased among children and adults, linked to a rise in other viral infections like influenza and varicella.
  • A study in the Netherlands aimed to quantify how much skin and soft tissue infections (SSTI) and pneumonia/sepsis cases in children and adults were connected to these viral infections.
  • Findings showed that from 2010-2023, varicella was responsible for a significant portion of GAS SSTI cases, while influenza A was the main viral contributor to pneumonia/sepsis, indicating the need for public health interventions like vaccinations to mitigate iGAS infection rates.
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Article Synopsis
  • * Out of 1,578 cases recorded, the majority were seen in children under 10 years old, with 24% requiring hospitalization; there were no reported deaths.
  • * The annual incidence rate was stable at an average of 2.5 cases per 100,000, with higher rates among children under 5 and boys, but the discovery of a new variant raises concerns about potential future outbreaks.
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Objectives: Biofilm is the major challenge in chronic wound management. Instilling a wound cleansing solution aids in wound bed cleaning and infectious pathogen elimination. Negative pressure wound therapy (NPWT) improves the wound-healing process.

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Inhibition of biofilm by and .

mSphere

October 2024

Department of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, University Zurich, Zurich, Switzerland.

Article Synopsis
  • The study investigates the anti-biofilm effects of cell-free supernatants from two probiotic bacterial strains on a human pathobiont responsible for serious infections, including pharyngotonsillitis and necrotizing fasciitis.
  • It finds that these supernatants significantly reduce the survival of both planktonic and biofilm forms of the pathogen, particularly affecting already established biofilms more intensely, suggesting the involvement of glycolipid compounds in this antimicrobial action.
  • The results highlight the need for new therapeutic strategies against biofilm-associated infections, particularly for vulnerable populations, and aim to enhance understanding of lactobacillus properties that could lead to innovative treatment options.
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Background: Streptococcus dysgalactiae subspecies equisimilis (SDSE) is increasingly recognized as an emerging cause of invasive diseases including necrotizing soft tissue infections (NSTIs). In contrast to the closely related Streptococcus pyogenes, SDSE infections mainly affect older and comorbid patients. Biofilm formation has been demonstrated in soft tissue biopsies of S.

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Post-streptococcal glomerulonephritis (PSGN) is primarily associated with preceding group A streptococcal skin or throat infections, now mainly observed in economically disadvantaged communities. This condition significantly predisposes individuals to later-life chronic kidney disease and concurrent renal complications, with the elderly experiencing increased severity and less favourable outcomes. Streptococcal pyrogenic exotoxin B and nephritis-associated plasmin receptor are identified nephritogenic antigens (nephritogens).

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Medicinal plants have traditionally been used to treat various human diseases worldwide. In this study, we evaluated the leaf extracts of plants from the Acanthaceae family, specifically (Burm.f.

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Article Synopsis
  • - Group A Streptococcus (Strep A) skin infections, like impetigo, can lead to serious conditions such as acute rheumatic fever (ARF) and rheumatic heart disease (RHD), particularly in Indigenous communities where these rates are significantly higher.
  • - Strep A can spread through three key ways: direct skin contact, surface contamination, and airborne transmission, highlighting the importance of addressing these pathways.
  • - The study suggests various household-level initiatives to reduce Strep A transmission, such as improving washing facilities, enhancing yard space for better social distancing, and increasing home ventilation, with an interactive tool developed to evaluate these initiatives' costs and effectiveness.
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Molecular Targets in for the Development of Anti-Virulence Agents.

Genes (Basel)

September 2024

Department of Biology, Indiana State University, 600 Chestnut St. S224, Terre Haute, IN 47809, USA.

, commonly known as Group A Streptococcus (GAS), is a significant human pathogen responsible for a wide range of diseases, from mild pharyngitis to severe conditions such as necrotizing fasciitis and toxic shock syndrome. The increasing antibiotic resistance, especially against macrolide antibiotics, poses a challenge to the effective treatment of these infections. This paper reviews the current state and mechanisms of antibiotic resistance in .

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Article Synopsis
  • Tonsillitis is a common throat issue often caused by viruses, but can also have bacterial origins; necrotizing tonsillitis is a rare, serious complication.
  • A unique case of necrotizing tonsillitis was reported in a patient with mononucleosis due to Epstein-Barr virus, complicated by a superinfection from group A streptococcus.
  • Radiologic imaging proved critical in diagnosing this rare situation, suggesting further studies are needed to explore the impact of viral vs. bacterial superinfections on patients with sore throats.
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Streptococcus pyogenes flexor tenosynovitis.

J Hand Surg Eur Vol

September 2024

Department of Orthopedic Surgery, University of Alabama, Heersink School of Medicine, Birmingham, AL, USA.

We describe a case of Group A streptococcal infection originally presenting as flexor tenosynovitis. Group A outbreaks have been recently described in developed countries, which constitutes an epidemiological shift that hand surgeons should be aware of.

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Despite growing recognition, neuropsychiatric diseases associated with infections are a major unsolved problem worldwide. Group A streptococcal (GAS) infections can cause autoimmune sequelae characterized by movement disorders, such as Sydenham chorea, and neuropsychiatric disorders. The molecular mechanisms underlying these diseases are not fully understood.

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