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- W2071114499 abstract "We conducted a 12-year review of all cases of group A streptococcal (GAS) bacteremia that were seen at Royal Children's Hospital in Melbourne, Australia, from 1982 through 1993. Forty-two cases were identified. There was a trend towards increased incidence of infections, as well as a clear increase in their severity, during the study period; more previously healthy children were affected during the last 6 years of the study (80% of cases) than during the first 6 years (47% of cases), and more complications occurred during the latter period than during the former (40% vs. 20%, respectively, with an 88% complication rate over the last 12 months). Seventy-four GAS isolates (41 invasive, 23 noninvasive, and 10 indeterminate) were analyzed. An M type 1 clone that was positive for the pyrogenic exotoxin A gene (speA) and that has been found to cause invasive disease in the Northern Hemisphere was most frequent among invasive isolates. Molecular typing also identified a genetically distinct strain that was virulent, mucoid, and M nontypable. Invasive GAS disease in Melbourne has become increasingly aggressive. Newer typing methods should be used in conjunction with traditional serotyping in order to maintain epidemiological surveillance of virulent strains." @default.
- W2071114499 created "2016-06-24" @default.
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- W2071114499 date "1995-11-01" @default.
- W2071114499 modified "2023-10-18" @default.
- W2071114499 title "Increasing Severity of Invasive Group A Streptococcal Disease in Australia: Clinical and Molecular Epidemiological Features and Identification of a New Virulent M-Nontypeable Clone" @default.
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- W2071114499 doi "https://doi.org/10.1093/clinids/21.5.1220" @default.
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