Document Detail


Invasive streptococcal infections in the era before the acquired immune deficiency syndrome: a 10 years' compilation of patients with streptococcal bacteraemia in North Yorkshire.
MedLine Citation:
PMID:  2663996     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Significant streptococcal (non-pneumococcal, non-enterococcal) bacteraemia was detected in 100 patients in two Health Districts of North Yorkshire in the decade 1978-1988. Patients with these infections accounted for 11% of the total 902 patients in the districts in whom bacteraemia was diagnosed during the period. Infection was most often seen with beta-haemolytic streptococci (52 patients) comprising Lancefield group A (Streptococcus pyogenes) (20 patients), group B (13), group C (5), group G (9), haemolytic Streptococcus milleri and non-groupable streptococci (5). The wide variety of serious infections included cellulitis, abscess, septicaemia, pneumonia, septic arthritis, necrotising fasciitis, acute endocarditis and mycotic aneurysm. Of these 52 patients, 21 (40%) died. alpha-Haemolytic streptococcal bacteraemia was diagnosed in 38 patients of whom 24 (63%) suffered from endocarditis and three (8%) died. Three of ten patients with non-haemolytic or anaerobic streptococcal bacteraemia died also. Six of the 100 patients with streptococcal bacteraemia had concomitant acute virus infections. Of the total 56 patients with infective endocarditis diagnosed in the districts during the period, streptococci were responsible in 30 (54%) of them. The predisposing factors, clinical features and outcome of the infections are described and discussed.
Authors:
M Barnham
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of infection     Volume:  18     ISSN:  0163-4453     ISO Abbreviation:  J. Infect.     Publication Date:  1989 May 
Date Detail:
Created Date:  1989-08-14     Completed Date:  1989-08-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7908424     Medline TA:  J Infect     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  231-48     Citation Subset:  IM    
Affiliation:
Department of Microbiology, Harrogate General Hospital, North Yorkshire, U.K.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Endocarditis, Bacterial / epidemiology
England
Female
Humans
Infant
Infant, Newborn
Male
Middle Aged
Sepsis / epidemiology*
Streptococcal Infections / epidemiology*
Streptococcus / isolation & purification*
Streptococcus agalactiae / isolation & purification
Streptococcus pyogenes / isolation & purification

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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