Characterization of a community cluster of group a streptococcal invasive disease in Maui, Hawaii.
A community cluster of severe group A streptococcal skin infections occurred in Maui, Hawaii with 3 fatal cases of necrotizing fasciitis in 2002. emm types 1, 12, 58, 74, 85 and 109 were identified from 8 patients. emm types 74 and 109 have not been previously described in the United States according to the Centers for Disease Control and Prevention database. The identification of uncommon emm types suggested that group A streptococcal sero-types in Hawaii are different from those in the continental United States and can result in serious disease.
Erdem
Guliz
G
Department of Pediatrics, University of Hawaii, John A. Burns School of Medicine, Honolulu, Hawaii. guliz@hawaii.edu
Abe
Lucienne
L
Kanenaka
Rebecca Y
RY
Pang
Lorrin
L
Mills
Kristin
K
Mizumoto
Carla
C
Yamaga
Karen
K
Effler
Paul V
PV
D000942:Antigens, Bacterial; D001425:Bacterial Outer Membrane Proteins / Q000235:genetics; D015373:Bacterial Typing Techniques; D002352:Carrier Proteins; D004196:Disease Outbreaks; D019115:Fasciitis, Necrotizing / Q000453:epidemiology / Q000382:microbiology*; D005260:Female; D006254:Hawaii / Q000453:epidemiology; D006801:Humans; D008297:Male; D012703:Serotyping; D013290:Streptococcal Infections / Q000453:epidemiology / Q000382:microbiology*; D013297:Streptococcus pyogenes / Q000302:isolation & purification
D000942:Antigens, Bacterial; D001425:Bacterial Outer Membrane Proteins; D002352:Carrier Proteins; C014689:streptococcal M protein