Invasive group A streptococcal infection concurrent with 2009 H1N1 influenza.
We describe 10 patients with 2009 H1N1 influenza and concurrent invasive group A streptococcal infection with marked associated morbidity and mortality. Seven patients required intensive care, 8 required mechanical ventilation, and 7 died. Five of the patients, including 4 of the fatalities, were previously healthy.
Jean
Cynthia
C
California Department of Public Health, Richmond, CA, USA. Cynthia.Jean@cdph.ca.gov
Louie
Janice K
JK
Glaser
Carol A
CA
Harriman
Kathleen
K
Hacker
Jill K
JK
Aranki
Faisal
F
Bancroft
Elizabeth
E
Farley
Susan
S
Ginsberg
Michele
M
Hernandez
Lisa B
LB
Sallenave
Catherine S
CS
Radner
Allen B
AB
D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D015897:Comorbidity; D003422:Critical Care; D005260:Female; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype / Q000302:isolation & purification*; D007251:Influenza, Human / Q000150:complications* / Q000401:mortality / Q000628:therapy / Q000821:virology*; D008297:Male; D008875:Middle Aged; D012121:Respiration, Artificial; D013290:Streptococcal Infections / Q000150:complications* / Q000382:microbiology* / Q000401:mortality / Q000628:therapy; D013297:Streptococcus pyogenes / Q000302:isolation & purification*