title: Group G streptococcal bacteremia in Jerusalem.
abstract: Group G Streptococcus (GGS) can cause severe infections, including bacteremia. These organisms often express a surface protein homologous to the Streptococcus pyogenes M protein. We retrospectively studied the characteristics of patients from the Hadassah Medical Center with GGS bacteremia from 1989 to 2000. Ninety-four cases of GGS bacteremia were identified in 84 patients. The median age was 62 years, 54% were males, and 92% had underlying diseases (35% had a malignancy, and 35% had diabetes mellitus). The most frequent source for bacteremia was cellulitis (61%). emm typing of 56 available isolates disclosed 13 different types, including 2 novel types. Six patients had recurrent bacteremia with two to four bacteremic episodes, five had chronic lymphatic disorders, and two had emm type stG840.0 in every episode. Recurrent bacteremia has not been described for invasive group A Streptococcus. We describe an entity of recurrent GGS bacteremia, which is associated with lymphatic disorders and possibly with emm stG840.0.
authors.affiliation: Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
authors.forename: Ronit
authors.initials: R
authors.lastname: Cohen-Poradosu
authors.forename: Joseph
authors.initials: J
authors.lastname: Jaffe
authors.forename: David
authors.initials: D
authors.lastname: Lavi
authors.forename: Sigal
authors.initials: S
authors.lastname: Grisariu-Greenzaid
authors.forename: Ran
authors.initials: R
authors.lastname: Nir-Paz
authors.forename: Lea
authors.initials: L
authors.lastname: Valinsky
authors.forename: Mary
authors.initials: M
authors.lastname: Dan-Goor
authors.forename: Colin
authors.initials: C
authors.lastname: Block
authors.forename: Bernard
authors.initials: B
authors.lastname: Beall
authors.forename: Allon E
authors.initials: AE
authors.lastname: Moses
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000942:Antigens, Bacterial / Q000235:genetics; D016470:Bacteremia / Q000382:microbiology*; D001425:Bacterial Outer Membrane Proteins / Q000235:genetics; D015373:Bacterial Typing Techniques; D002352:Carrier Proteins / Q000235:genetics; D002648:Child; D005260:Female; D006801:Humans; D007557:Israel / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013290:Streptococcal Infections / Q000453:epidemiology* / Q000382:microbiology*; D013291:Streptococcus / Q000145:classification* / Q000235:genetics / Q000302:isolation & purification / Q000472:pathogenicity
chemical_list: D000942:Antigens, Bacterial; D001425:Bacterial Outer Membrane Proteins; D002352:Carrier Proteins; C014689:streptococcal M protein