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invasive disease due to group a beta-hemolytic streptococci: continued occurrence in children in north carolina.we have previously reported a significant increase beginning in the late 1980s in the incidence of invasive disease due to group a beta-hemolytic streptococci (gabs) in children admitted to our hospital. to determine subsequent trends in epidemiology, we have continued to monitor cases.19989563422
from the centers for disease control. nursing home outbreaks of invasive group a streptococcal infections--illinois, kansas, north carolina, and texas. 19902203912
outbreak of invasive group a streptococcal infections in a nursing home. lessons on prevention and control.nine outbreaks of group a streptococcal (gas) infections in nursing homes were reported to the centers for disease control (atlanta, ga) during the past two winters. we conducted an intensive epidemiologic and laboratory investigation of one of these outbreaks to determine clinical characteristics, risk factors for transmission and infection, and methods of control and prevention.19921580705
necrotizing fasciitis and myositis caused by group a streptococci. epidemiology, diagnosis, and treatment of "flesh-eating bacteria".despite the absence of conclusive proof, the incidence of necrotizing fasciitis and myositis due to gas may be increasing, possibly related to shifts in the proportion of gas isolates of m-types 1 and 3. these m-types (or the production of exotoxins and proteases associated with them) may lead to severe gas infections in individuals who lack immunity. recent television and newspaper reports underscore the potential virulence of gas even in young and previously well individuals although they do t ...19947800056
invasive group a streptococcal infections in north carolina: epidemiology, clinical features, and genetic and serotype analysis of causative organisms.during 1994 and 1995, an increase in the number and severity of group a streptococcal (gas) infections was noted in north carolina. ninety-six patients had gas recovered from blood and other sterile body fluids, abscesses, and soft tissue. the overall case fatality rate was 11% but was much higher in patients with toxic shock syndrome (55%) and necrotizing fasciitis (58%). recent invasive gas isolates were compared with pre-1994 invasive isolates and temporally related pharyngeal isolates by m p ...19979333158
apparent increase in the incidence of invasive group a beta-hemolytic streptococcal disease in children.recently, among adults, an increase in the incidence of invasive disease caused by group a beta-hemolytic streptococci (gabs) has been noted, as has the appearance of a severe illness called "toxic shock-like syndrome," also caused by gabs. we now report an apparent increase beginning in 1987 in the incidence of invasive disease caused by gabs in children. among these patients the manifestations were varied. one child had signs and symptoms compatible with the streptococcal toxic shock-like synd ...19911999773
nursing home outbreaks of invasive group a streptococcal infections--illinois, kansas, north carolina, and texas. 19902117240
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