title: Characterization of a community cluster of group a streptococcal invasive disease in Maui, Hawaii.
abstract: 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.
authors.affiliation: Department of Pediatrics, University of Hawaii, John A. Burns School of Medicine, Honolulu, Hawaii. guliz@hawaii.edu
authors.forename: Guliz
authors.initials: G
authors.lastname: Erdem
authors.forename: Lucienne
authors.initials: L
authors.lastname: Abe
authors.forename: Rebecca Y
authors.initials: RY
authors.lastname: Kanenaka
authors.forename: Lorrin
authors.initials: L
authors.lastname: Pang
authors.forename: Kristin
authors.initials: K
authors.lastname: Mills
authors.forename: Carla
authors.initials: C
authors.lastname: Mizumoto
authors.forename: Karen
authors.initials: K
authors.lastname: Yamaga
authors.forename: Paul V
authors.initials: PV
authors.lastname: Effler
mesh_terms: 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
chemical_list: D000942:Antigens, Bacterial; D001425:Bacterial Outer Membrane Proteins; D002352:Carrier Proteins; C014689:streptococcal M protein