TY - JOUR
T1 - Group a streptococcal bacteremia in a mid-south children’s hospital
AU - Leggiadro, Robert J.
AU - Bugnitz, Mark C.
AU - Peck, Barbara A.
AU - Luedtke, Gary S.
AU - Kim, Michael H
AU - Kaplan, Edward L.
AU - Schlievert, Patrick M.
PY - 1993/6
Y1 - 1993/6
N2 - We reviewed microbiology and infection control records at a Memphis children’s hospital from 1982 to 1990 to obtain epidemiologic, clinical, and microbiologic data on group A streptococcal (GAS) bacteremia. Varicella was the underlying condition in 8 of 37 (22%) patients identified and was often associated with severe GAS disease, including toxic shock-like syndrome. Twenty-one of 31 (68%) available blood isolates made GAS pyrogenic exotoxin (SPE) B by Ouchterlony immunodiffusion; gene probes identified speC and speA in 18 (58%) and 8 (26%) isolates, respectively. The B/C toxin profile, identified in 11 (35%) isolates, was the most common profile in this population, and the overall rate for speC was higher than rates recently reported from other areas. Although the clinical significance of the toxin profiles in our population is unclear, these data emphasize the geographic and temporal variability in the microbiologic properties of GAS disease.
AB - We reviewed microbiology and infection control records at a Memphis children’s hospital from 1982 to 1990 to obtain epidemiologic, clinical, and microbiologic data on group A streptococcal (GAS) bacteremia. Varicella was the underlying condition in 8 of 37 (22%) patients identified and was often associated with severe GAS disease, including toxic shock-like syndrome. Twenty-one of 31 (68%) available blood isolates made GAS pyrogenic exotoxin (SPE) B by Ouchterlony immunodiffusion; gene probes identified speC and speA in 18 (58%) and 8 (26%) isolates, respectively. The B/C toxin profile, identified in 11 (35%) isolates, was the most common profile in this population, and the overall rate for speC was higher than rates recently reported from other areas. Although the clinical significance of the toxin profiles in our population is unclear, these data emphasize the geographic and temporal variability in the microbiologic properties of GAS disease.
UR - http://www.scopus.com/inward/record.url?scp=0027292922&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0027292922&partnerID=8YFLogxK
U2 - 10.1097/00007611-199306000-00004
DO - 10.1097/00007611-199306000-00004
M3 - Article
C2 - 8506479
AN - SCOPUS:0027292922
SN - 0038-4348
VL - 86
SP - 615
EP - 618
JO - Southern Medical Journal
JF - Southern Medical Journal
IS - 6
ER -