14,225 results match your criteria: "Streptococcus Group A Infections"

We report a group A streptococcal outbreak in a geriatric mental health inpatient unit. Communication with cognitively impaired patients, limitations in adherence to hygiene practices, and communal dining may have facilitated transmission. Settle plates aided in identifying a colonized patient.

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  • - Pleural empyema in children complicates pneumonia treatment; traditional bacterial cultures often fail to identify pathogens, leading to ineffective antibiotic use.
  • - A new multiplex-quantitative PCR (molecular assay) was developed to improve detection of common bacteria and showed high sensitivity (99.1%) and specificity (100%) in testing.
  • - In a study with 100 children, the multiplex-qPCR identified pathogens in 90% of cases, significantly outperforming bacterial cultures (24%), and could potentially reduce unnecessary antibiotic treatment duration by 20 days on average.
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Child With Right Eye Pain Following Streptococcal Pharyngitis.

Ann Emerg Med

July 2024

The Permanente Medical Group, Oakland, CA; Department of Emergency Medicine, Kaiser Permanente Roseville Medical Center, Roseville, CA; Division of Research, Kaiser Permanente Northern California, Oakland, CA.

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  • During autumn/winter 2022, the UK saw an unusual rise in severe group A streptococcal infections in children, primarily manifesting as pneumonia with fluid in the lungs.
  • Clinicians documented 185 cases from children under 16, revealing that most patients were healthy prior to infection, with many also suffering from respiratory viral coinfections.
  • The study underscores the importance of routine vaccinations against common viruses and group A streptococcus, as well as the effectiveness of molecular testing to aid in diagnosis and reporting.
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  • The study examines how the COVID-19 pandemic affected the occurrence of certain respiratory bacteria, highlighting significant changes in their epidemiology due to new social behaviors and non-pharmaceutical interventions (NPIs).
  • Researchers analyzed data from a national surveillance database from 2018 to 2021, comparing cases of four bacteria before and after the pandemic, focusing on different age groups and specimen sources.
  • Findings showed a significant drop in cases of S. pneumoniae, H. influenzae, and S. pyogenes between 2019 and 2020, with a resurgence in 2021, particularly among young children, indicating the varied impact of NPIs on different bacteria and demographics.
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The major gram-positive pathogen group A (GAS) is a model organism for studying microbial epidemics as it causes waves of infections. Since 1980, several GAS epidemics have been ascribed to the emergence of clones producing increased amounts of key virulence factors such as streptolysin O (SLO). Herein, we sought to identify mechanisms underlying our recently identified temporal clonal emergence among GAS, given that emergent strains did not produce augmented levels of virulence factors relative to historic isolates.

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Neck Space Infection: A Retrospective Study of 40 Cases at a Tertiary Care Center in Sibu, Malaysia.

Indian J Otolaryngol Head Neck Surg

June 2024

Hospital Sibu, 5 1/2KM, Jalan Oya, 96000 Sibu, Sarawak Malaysia.

This study is intended to explore the relationship of etiologies of neck space infection (NSI) and its prevalent microorganisms of NSI and to compare the treatments and its clinical outcomes with other studies. A retrospective study of 1 year duration from April 2022-April 2023 at ENT department Hospital Sibu includes total 40 NSI patients. 30 male and 10 female patients, with a male-to-female ratio of 3 were studied, with a mean age of 35.

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Duration of severe and moderate symptoms in pharyngitis by cause.

Aten Primaria

November 2024

University Institute in Primary Care Research Jordi Gol, Barcelona, Spain; Centro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain; Via Roma Health Centre, Catalan Institute of Health, Barcelona, Spain; Department of Public Health, General Practice, University of Southern Denmark, Odense, Denmark. Electronic address:

Objective: This study aimed to assess the cause of acute pharyngitis and determine the duration of severe and moderate symptoms based on the aetiology.

Design: Prospective observational study. SITE: One urban health care centre.

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  • Scarlet fever, caused by Streptococcus pyogenes, has limited information available in the Arab World, particularly in the UAE.
  • A study of scarlet fever cases at Kanad Hospital in Al Ain found 222 confirmed cases, predominantly among children aged 3 to 6, with symptoms like rash and fever.
  • Results showed most patients were treated as outpatients and responded well to oral penicillin, indicating a seasonal outbreak pattern with increased cases in early 2023.
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Background: A future (Strep A) vaccine will ideally prevent a significant burden of lower limb cellulitis; however, natural immune responses to proposed vaccine antigens following an episode of cellulitis remain uncharacterized.

Methods: We enrolled 63 patients with cellulitis and 26 with invasive beta hemolytic streptococci infection, using a multiplexed assay to measure immunoglobulin G against Strep A vaccine candidate antigens, including: streptolysin O (SLO), deoxyribonuclease B (DNB), group A carbohydrate (GAC), C5a peptidase (ScpA), cell envelope proteinase (SpyCEP), and adhesion and division protein (SpyAD). Responses in the invasive cohort were used to predict the infecting etiology in the cellulitis cohort.

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Objectives: We performed a multicentre study (2020-2022) to compare the activity of ozenoxacin and comparator agents against and clinical isolates from skin and soft-tissue infections (SSTI).

Methods: A total of 1725 isolates (1454 and 271 ) were collected in 10 centres from eight countries between January 2020 and December 2022. Antimicrobial susceptibility testing was determined (microdilution-SENSITITRE).

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The interplay between host nutritional immune mechanisms and bacterial nutrient uptake systems has a major impact on the disease outcome. The host immune factor calprotectin (CP) limits the availability of essential transition metals, such as manganese (Mn) and zinc (Zn), to control the growth of invading pathogens. We previously demonstrated that the competition between CP and the human pathogen group A streptococcus (GAS) for Zn impacts GAS pathogenesis.

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Necrotizing soft tissue infections (NSTIs), characterized by extensive soft tissue destruction, are rare but life-threatening. We present a case of a NSTI in a healthy 65-year-old woman following a closed distal radius fracture. The patient presented with severe pain, fever, and lethargy 4 days after her index injury, with physical examination of the right upper limb revealing erythema and swelling to the mid-humeral level and blisters of the fingers and hand.

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Purpose: Our objective was to elucidate host dependent factors of disease severity in invasive group A Streptococcal disease (iGAS) using transcriptome profiling of iGAS cases of varying degrees of severity at different timepoints. To our knowledge there are no previous transcriptome studies in iGAS patients.

Methods: We recruited iGAS cases from June 2018 to July 2020.

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Background And Objective: The reported rising global rates of invasive group A Streptococcus (iGAS) infection raise concern for disease related increase in critical illness and fatalities. An enhanced understanding of various presentations to health care and clinical course could improve early recognition and therapy in children with iGAS. The objective of this study was to describe the epidemiology of iGAS infections among children admitted to critical care.

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Article Synopsis
  • Necrotizing fasciitis is a life-threatening skin infection primarily linked to group A beta-hemolytic Streptococcus, but other bacteria have also been identified as causes in recent cases.
  • A study of 79 patients from 2004 to 2023 found differences in symptoms based on the type of bacteria, with specific groups showing varying age distributions and clinical characteristics.
  • Although the overall mortality rates were similar across bacterial groups, patients with mixed infections had a worse prognosis and the pubic area was the most common infection site in these cases.
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[Invasive Streptococcal infections - an interdisciplinary challenge].

Dtsch Med Wochenschr

July 2024

Zentrale Notaufnahme Klinikum Innenstadt, LMU Klinikum, Ludwig-Maximilians-Universität München.

History And Clinical Findings:  We report on a 34-year-old female patient and a 50-year-old male patient, both of whom were admitted to our emergency department with severe septic conditions.

Medical Examinations:  Both patients were resuscitated and exhibited clinical as well as laboratory evidence of a severe bacterial infection.

Diagnosis:  Both patients had an invasive infection with Group A Streptococcus.

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SUMMARY subsp. (SDSE) is an increasingly recognized cause of disease in humans. Disease manifestations range from non-invasive superficial skin and soft tissue infections to life-threatening streptococcal toxic shock syndrome and necrotizing fasciitis.

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Endogenous bacterial endophthalmitis (EE) is an intraocular infection with a poor prognosis. Timely diagnosis and prompt treatment are crucial to prevent vision loss. In this communication, we describe a case of EE caused by Streptococcus pyogenes (Group A Streptococcus [GAS]) in an HIV-positive patient with poorly controlled type 2 diabetes mellitus (DM).

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Article Synopsis
  • The review focuses on current evidence for managing streptococcal pharyngitis in children and highlights the importance of distinguishing it from viral infections to prevent complications.
  • It discusses the challenges of diagnosing based solely on clinical features and mentions the creation of clinical scores for more accurate diagnosis, along with the mixed opinions on the use of microbiological tests.
  • While treatment guidelines agree on the type of antibiotics to use, there is ongoing debate about the ideal length of treatment, especially due to a recent rise in streptococcal infections.
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The fascial space of the oral and maxillofacial region contains loose connective tissues, which possess weak anti-infection ability and are often prone to infection, leading to acute suppurative inflammation and sepsis through blood. Although antibiotic use can reduce the probability of bacterial infections, owing to the emergence of antibiotic-resistant bacteria, the search for new antimicrobial drugs is imminent. Herein, we report a metal-organic framework (MOF) antibacterial material designed and synthesized with gallium (Ga) as the central atom, which possesses significant antibacterial, anti-inflammatory, and antioxidant effects.

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Comparison of the effect of bacterial stimulation on the global epigenetic landscape and transcription of immune genes in primarily zoophilic members of the Anopheles gambiae complex (Diptera: Culicidae).

Mol Biochem Parasitol

December 2024

Centre for Emerging Zoonotic and Parasitic Diseases, National Institute for Communicable Diseases of the National Health Laboratory Service, Johannesburg, South Africa; Wits Research Institute for Malaria, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. Electronic address:

Members of the Anopheles gambiae complex vary in their vector competence, and this is often attributed to behavioural differences. Similarly, there are differences in transmission capabilities of the zoophilic members of this complex despite exhibiting similar behaviours. Therefore, behavioural differences alone cannot fully explain vector competence variation within members of the An.

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Group A Streptococcal meningitis in children: a short case series and systematic review.

Eur J Clin Microbiol Infect Dis

August 2024

Department of Infectious Diseases, Key Laboratory of Major Diseases in Children, Beijing Children's Hospital, Ministry of Education, Capital Medical University, National Center for Children's Health, Beijing, 100045, China.

Background: Group A streptococcal(GAS) meningitis is a severe disease with a high case fatality rate. In the era of increasing GAS meningitis, our understanding about this disease is limited.

Purpose: To gain a better understanding about GAS meningitis.

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Invasive group A streptococcal disease surveillance in Canada, 2021-2022.

Can Commun Dis Rep

May 2024

National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, MB.

Background: Invasive group A streptococcal (iGAS, ) disease has been a nationally notifiable disease in Canada since 2000. This report summarizes the demographics, types, and antimicrobial resistance of iGAS isolates collected in Canada in 2021 and 2022.

Methods: The Public Health Agency of Canada's National Microbiology Laboratory collaborates with provincial and territorial public health laboratories to conduct national surveillance of invasive .

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