Familial transmission of a serious disease-producing group A streptococcus clone: Case reports and review

被引：42

作者：

Gamba, MA

Martinelli, M

Schaad, HJ

Streuli, RA

DiPersio, J

Matter, L

Ris, HB

Marchal, F

Kaplan, EL

Stevens, DL

Malinverni, R

机构：

[1] UNIV BERN,INSELSPITAL,DEPT MED,CH-3010 BERN,SWITZERLAND

[2] UNIV BERN,INSELSPITAL,DEPT CARDIOTHORAC SURG,CH-3010 BERN,SWITZERLAND

[3] UNIV BERN,INSELSPITAL,DEPT HEAD NECK & FACIAL SURG,CH-3010 BERN,SWITZERLAND

[4] UNIV BERN,INSELSPITAL,MED POLICLIN,CH-3010 BERN,SWITZERLAND

[5] UNIV BERN,DEPT MED MICROBIOL,CH-3010 BERN,SWITZERLAND

[6] REGIONALSPITAL,DEPT MED,LANGENTHAL,SWITZERLAND

[7] UNIV MINNESOTA,DEPT PEDIAT,MINNEAPOLIS,MN 55455

[8] VET ADM MED CTR HOSP,DEPT MED,BOISE,ID

[9] SUMMA HLTH SYST,DEPT PATHOL & LAB MED,AKRON,OH

来源：

CLINICAL INFECTIOUS DISEASES | 1997年 / 24卷 / 06期

关键词：

D O I：

10.1086/513636

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Invasive group A streptococcus (GAS) infections are emerging diseases; however, person to-person transmission of invasive GAS producing life-threatening infection has been observed rarely. We report a small intrafamilial cluster of life-threatening GAS infections. A previously healthy 47-year-old father developed necrotizing fasciitis of the neck. Two days later, his 16-year-old daughter developed streptococcal angina, pneumonia, and pleural empyema. Both patients had signs of streptococcal toxic shock syndrome. Pulsed field gel electrophoresis revealed that the M6 strains of GAS isolated from the father and daughter had identical patterns. Cases of person-to-person transmission of invasive GAS infection reported in the literature are also reviewed.

引用

页码：1118 / 1121

页数：4

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