title: [Characteristics of group A streptococci isolated from children with non-suppurative complication or severe infection].
abstract: We determined the characteristics of group A streptococci isolated from 29 sporadic cases with non-suppurative complication or severe infection during a 15-year period from 1977 to 1991. The clinical diagnoses of children included 4 patients with rheumatic fever, 2 with reactive arthritis, 2 with central nervous system complication, 5 with glomerulonephritis, 11 with Honoch-Schölein purpura, 4 with sepsis and 1 with empyema. Twenty-four strains were isolated from throat swabs, 4 from blood specimens and one from pleural fluid. M/T-serotypes and the number of isolates were as follows; 1/1:10, 3/3:1, 3.3R/3:3, 4/4:7, 5/NT:1, 12/12:3, 18/18:2, 62/12:1, NT/13:1. All 29 isolates had productivity for at least one of streptococcal pyrogenic exotoxins (SPEs) A, B and C. Two strains were positive for A, 2 for A and B, 3 for A, B and C, 9 for B and 13 for B and C. Of 11 isolates from patients with Henoch-Schönlein purpura, 7 and 2 strains were serotyped in M1 and M4, respectively, but none was in M12. Ten of 11 isolates were positive for SPE B or SPEs B and C.
authors.affiliation: Department of Pediatrics, Asahikawa Medical College.
authors.forename: K
authors.initials: K
authors.lastname: Fujita
authors.forename: K
authors.initials: K
authors.lastname: Murono
authors.forename: M
authors.initials: M
authors.lastname: Yoshikawa
authors.forename: H
authors.initials: H
authors.lastname: Sakata
authors.forename: S
authors.initials: S
authors.lastname: Maruyama
authors.forename: M
authors.initials: M
authors.lastname: Saijyo
authors.forename: M
authors.initials: M
authors.lastname: Takimoto
authors.forename: Y
authors.initials: Y
authors.lastname: Takahashi
authors.forename: F
authors.initials: F
authors.lastname: Inyaku
authors.forename: Y
authors.initials: Y
authors.lastname: Kusunoki
mesh_terms: D000293:Adolescent; D016918:Arthritis, Reactive / Q000382:microbiology; D002648:Child; D002675:Child, Preschool; D005098:Exotoxins / Q000032:analysis; D005260:Female; D005921:Glomerulonephritis / Q000382:microbiology; D006801:Humans; D011695:IgA Vasculitis / Q000382:microbiology; D007223:Infant; D008297:Male; D012189:Retrospective Studies; D012213:Rheumatic Fever / Q000382:microbiology; D012703:Serotyping; D013290:Streptococcal Infections / Q000150:complications / Q000382:microbiology*; D013297:Streptococcus pyogenes / Q000145:classification / Q000302:isolation & purification*
chemical_list: D005098:Exotoxins