Group A Streptococcal Infections and a Toxic Shock–like Syndrome
To the Editor: Stevens et al. (July 6 issue) 1 report their observations of severe group A streptococcal infections from the Rocky Mountain area associated with the production of scarlet fever toxin A. Within the past two years we have had three patients at Walter Reed Army Medical Center who were h...
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| Veröffentlicht in: | The New England journal of medicine 1989-11, Vol.321 (22), p.1545-1547 |
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| container_end_page | 1547 |
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| container_issue | 22 |
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| container_title | The New England journal of medicine |
| container_volume | 321 |
| creator | Drabick, Joseph J Lennox, Jeffrey L Hess, Evelyn V Grant, Kenneth D Hansman, David Jarvinen, Ari Gaworzewska, E.T Hallas, G Stevens, Dennis L Tanner, Martha H Winship, Jay Swarts, Raymond Ries, Kristen M Schlievert, Patrick M Kaplan, Edward |
| description | To the Editor:
Stevens et al. (July 6 issue)
1
report their observations of severe group A streptococcal infections from the Rocky Mountain area associated with the production of scarlet fever toxin A. Within the past two years we have had three patients at Walter Reed Army Medical Center who were healthy adults in their mid-30s who presented with life-threatening multisystem illnesses due to group A streptococci. All the patients had acquired their illnesses in the Middle Atlantic region and presented with similar influenza-like symptoms.
Two of the patients had a cutaneous source (cellulitis and fasciitis) of infection, whereas the other . . .
No extract is available for articles shorter than 400 words. |
| doi_str_mv | 10.1056/NEJM198911303212212 |
| format | Article |
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Stevens et al. (July 6 issue)
1
report their observations of severe group A streptococcal infections from the Rocky Mountain area associated with the production of scarlet fever toxin A. Within the past two years we have had three patients at Walter Reed Army Medical Center who were healthy adults in their mid-30s who presented with life-threatening multisystem illnesses due to group A streptococci. All the patients had acquired their illnesses in the Middle Atlantic region and presented with similar influenza-like symptoms.
Two of the patients had a cutaneous source (cellulitis and fasciitis) of infection, whereas the other . . .
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Stevens et al. (July 6 issue)
1
report their observations of severe group A streptococcal infections from the Rocky Mountain area associated with the production of scarlet fever toxin A. Within the past two years we have had three patients at Walter Reed Army Medical Center who were healthy adults in their mid-30s who presented with life-threatening multisystem illnesses due to group A streptococci. All the patients had acquired their illnesses in the Middle Atlantic region and presented with similar influenza-like symptoms.
Two of the patients had a cutaneous source (cellulitis and fasciitis) of infection, whereas the other . . .
No extract is available for articles shorter than 400 words.</description><subject>Adult</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Humans</subject><subject>Shock, Septic - diagnosis</subject><subject>Streptococcal Infections - diagnosis</subject><subject>Streptococcus pyogenes</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1Kw0AUhQdRaq0-gQizciPR-csks6yl1krVRes6TCY3mDbJxJkE7M538A19EiMtrsTLhbs453xcDkLnlFxTEsqbp-nDI1WxopQTzijr9wANach5IASRh2hICIsDESl-jE68X5N-qFADNGAyZkyEQ3Q7c7Zr8BgvWwdNa401Rpd4Xudg2sLWHus6wxqv7Hth8PLVms3Xx2dZbAAvt3XmbAWn6CjXpYez_R2hl7vpanIfLJ5n88l4ERhBRBtw0DxmWSxlxAnLOU-ZkUYqMMAjplUepVRJHsapEqlQLO8fSVUGMtMiMkbyEbrccRtn3zrwbVIV3kBZ6hps5xMaRqFQKu6NfGc0znrvIE8aV1TabRNKkp_mkj-a61MXe3yXVpD9ZvZV9frVTq8qn9Swrv6lfQPr6HVd</recordid><startdate>19891130</startdate><enddate>19891130</enddate><creator>Drabick, Joseph J</creator><creator>Lennox, Jeffrey L</creator><creator>Hess, Evelyn V</creator><creator>Grant, Kenneth D</creator><creator>Hansman, David</creator><creator>Jarvinen, Ari</creator><creator>Gaworzewska, E.T</creator><creator>Hallas, G</creator><creator>Stevens, Dennis L</creator><creator>Tanner, Martha H</creator><creator>Winship, Jay</creator><creator>Swarts, Raymond</creator><creator>Ries, Kristen M</creator><creator>Schlievert, Patrick M</creator><creator>Kaplan, Edward</creator><general>Massachusetts Medical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>C1K</scope></search><sort><creationdate>19891130</creationdate><title>Group A Streptococcal Infections and a Toxic Shock–like Syndrome</title><author>Drabick, Joseph J ; Lennox, Jeffrey L ; Hess, Evelyn V ; Grant, Kenneth D ; Hansman, David ; Jarvinen, Ari ; Gaworzewska, E.T ; Hallas, G ; Stevens, Dennis L ; Tanner, Martha H ; Winship, Jay ; Swarts, Raymond ; Ries, Kristen M ; Schlievert, Patrick M ; Kaplan, Edward</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c404t-3ea382d8667302f33b2c6c69ece372a9f7b196358b94b492fccab9de6da47cc63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Adult</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Humans</topic><topic>Shock, Septic - diagnosis</topic><topic>Streptococcal Infections - diagnosis</topic><topic>Streptococcus pyogenes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Drabick, Joseph J</creatorcontrib><creatorcontrib>Lennox, Jeffrey L</creatorcontrib><creatorcontrib>Hess, Evelyn V</creatorcontrib><creatorcontrib>Grant, Kenneth D</creatorcontrib><creatorcontrib>Hansman, David</creatorcontrib><creatorcontrib>Jarvinen, Ari</creatorcontrib><creatorcontrib>Gaworzewska, E.T</creatorcontrib><creatorcontrib>Hallas, G</creatorcontrib><creatorcontrib>Stevens, Dennis L</creatorcontrib><creatorcontrib>Tanner, Martha H</creatorcontrib><creatorcontrib>Winship, Jay</creatorcontrib><creatorcontrib>Swarts, Raymond</creatorcontrib><creatorcontrib>Ries, Kristen M</creatorcontrib><creatorcontrib>Schlievert, Patrick M</creatorcontrib><creatorcontrib>Kaplan, Edward</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Drabick, Joseph J</au><au>Lennox, Jeffrey L</au><au>Hess, Evelyn V</au><au>Grant, Kenneth D</au><au>Hansman, David</au><au>Jarvinen, Ari</au><au>Gaworzewska, E.T</au><au>Hallas, G</au><au>Stevens, Dennis L</au><au>Tanner, Martha H</au><au>Winship, Jay</au><au>Swarts, Raymond</au><au>Ries, Kristen M</au><au>Schlievert, Patrick M</au><au>Kaplan, Edward</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Group A Streptococcal Infections and a Toxic Shock–like Syndrome</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>1989-11-30</date><risdate>1989</risdate><volume>321</volume><issue>22</issue><spage>1545</spage><epage>1547</epage><pages>1545-1547</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><abstract>To the Editor:
Stevens et al. (July 6 issue)
1
report their observations of severe group A streptococcal infections from the Rocky Mountain area associated with the production of scarlet fever toxin A. Within the past two years we have had three patients at Walter Reed Army Medical Center who were healthy adults in their mid-30s who presented with life-threatening multisystem illnesses due to group A streptococci. All the patients had acquired their illnesses in the Middle Atlantic region and presented with similar influenza-like symptoms.
Two of the patients had a cutaneous source (cellulitis and fasciitis) of infection, whereas the other . . .
No extract is available for articles shorter than 400 words.</abstract><cop>United States</cop><pub>Massachusetts Medical Society</pub><pmid>2682245</pmid><doi>10.1056/NEJM198911303212212</doi><tpages>3</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0028-4793 |
| ispartof | The New England journal of medicine, 1989-11, Vol.321 (22), p.1545-1547 |
| issn | 0028-4793 1533-4406 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_15754998 |
| source | MEDLINE; ProQuest Central UK/Ireland |
| subjects | Adult Child Child, Preschool Female Humans Shock, Septic - diagnosis Streptococcal Infections - diagnosis Streptococcus pyogenes |
| title | Group A Streptococcal Infections and a Toxic Shock–like Syndrome |
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