title: [Epidemiology and clinical features of Streptococcus pyogenes bacteremia in Cartagena (Murcia, Spain)].
abstract: BACKGROUND
  A gradual increase in severe cases due to Streptococcus pyogenes or Streptococcus beta-hemolytic group A (SGA), has been detected in the last few decades.
  
  
  METHODS
  Retrospective study of bacteremia due to S.pyogenes detected between January 2009 and January 2013 in Cartagena. The annual incidence for severe bacteremia has been estimated.
  
  
  RESULTS
  Thirteen cases of SGA bacteremia were recorded. The incidence increased from 0.37 in 2009 to 2.5 cases/100,000 inhabitants in 2012. The predominant focus was skin and soft tissue infections (53%). Early mortality was 20%.
  
  
  CONCLUSIONS
  Severe streptococcal disease is rare, but affects individuals with good functional status, and is associated with a high mortality.
authors.affiliation: Servicio de Medicina Interna, Sección de Enfermedades Infecciosas, Hospital Universitario Santa Lucía, Cartagena, Murcia, España. doc.jimeno@hotmail.com
authors.forename: Amaya
authors.initials: A
authors.lastname: Jimeno-Almazán
authors.forename: Montserrat
authors.initials: M
authors.lastname: Viqueira-Gonzalez
authors.forename: María Del Mar
authors.initials: Mdel M
authors.lastname: Alcalde
authors.forename: Begoña
authors.initials: B
authors.lastname: Alcaraz-Vidal
authors.forename: Francisco
authors.initials: F
authors.lastname: Vera-Méndez
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016470:Bacteremia / Q000175:diagnosis* / Q000453:epidemiology*; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013030:Spain / Q000453:epidemiology; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000453:epidemiology*; D013297:Streptococcus pyogenes
keywords: Bacteremia; Bacteriemia; Group A Steptococcus; Incidence; Incidencia; Mortalidad; Mortality; Streptococcus pyogenes; Streptococo beta-hemolítico del grupo A