Presentation
Suppurative complications of group A beta-hemolytic Streptococcus infection can present acutely and progress rapidly if prompt treatment is not initiated. Awareness of uncommon presentations is essential. [ncbi.nlm.nih.gov]
Fever was the main presenting feature in this case but it was the presentation of patient with multiple cerebral infarcts that lead to the diagnosis of infective endocarditis. [ecommons.aku.edu]
Entire Body System
- Malaise
COMPLICATION : Acute Glomerulonephritis The major clinical and laboratory manifestations of acute post-streptococcal glomerulonephritis are: CLINICAL FEATURES LABORATORY FINDINGS Abrupt onset Hematuria, cylindruria Headache, malaise Proteinuria Edema, [atsu.edu]
The majority of scarlet fever patients do experience associated symptoms of malaise, fever, head- ache, and abdominal pain, with or without vomiting. On examination, patients are not ill. [ahcmedia.com]
Gastrointestinal
- Regurgitation
One month after the initial echocardiogram, a repeat examination revealed worsening aortic regurgitation and mitral regurgitation. [ncbi.nlm.nih.gov]
Liver, Gall & Pancreas
- Neonatal Jaundice
We report here a neonate with late onset GBS infection manifesting as a urinary tract infection (UTI) in an infant presenting with prolonged neonatal jaundice. The pathogenesis of this late onset is postulated. [ncbi.nlm.nih.gov]
Cardiovascular
- Tachycardia
An elderly diabetic man presents to hospital with a fever, tachycardia and hypotension. He is septic and so blood cultures are taken and he is started on IV Piptazobactam as per the hospitals empirical guidelines for sepsis. [microbiologynutsandbolts.co.uk]
Treatment of potentially life-threatening complications of GAS infections includes not only eradication of the organism from normally sterile sites throughout the body but also management of secondary problems -- namely, hypotension, tachycardia, and [emedicinehealth.com]
Tachycardia is disproportionately seen in relation to the height of the fever. [ahcmedia.com]
Jaw & Teeth
- Exudative Pharyngitis
James et al. [ 1 ] have associated group C SBH with exudative pharyngitis. Baquero et al. [ 2 ] also identified these species on its research work. [omicsonline.org]
Urogenital
- Uterine Tenderness
At the time of uterine tenderness (Day 2, postpartum), 4 of 5 patients had gram-stained lochial smears showing a predominance of gram-positive cocci. [ncbi.nlm.nih.gov]
Neurologic
- Polyneuropathy
We describe a 12-year-old boy who presented with peripheral polyneuropathy associated with Group A beta-hemolytic Streptococcus infection. [ncbi.nlm.nih.gov]
- Peripheral Neuropathy
Postinfectious peripheral neuropathy can be associated with various viral or bacterial infections. [ncbi.nlm.nih.gov]
Workup
His workup showed evidence of infection and multiple cerebral infarcts on the right side. Blood culture grew Streptococcus pyogens. Echocardiogram showed two vegetations on the aortic valve. [ecommons.aku.edu]
Microbiology
- Gram-Positive Bacteria
These are streptococci (round or ovoid gram - positive bacteria) that are characterised by their ability to lyse red blood cells. [gpnotebook.co.uk]
Group A beta-hemolytic streptococci (GABHS) are gram-positive bacteria that grow in culture as pairs or chains of variable length. [pedsinreview.aappublications.org]
Michael Gibson, M.S., M.D. [1] Overview Streptococcus is a genus of spherical Gram-positive bacteria, belonging to the phylum Firmicutes [1] and the lactic acid bacteria group. [wikidoc.org]
A Gram stain is performed to show Gram-positive cocci in chains. [en.wikipedia.org]
Mupirocin is effective against gram-positive bacteria, especially methicillin-sensitive Staphylococcus aureus (MSSA) and GABHS. [ahcmedia.com]
- Gram-Positive Coccus
Group A Strep (GAS) Infection Related Articles Group A Strep (GAS) Infection Facts Streptococcus pyogenes, also known as group A beta-hemolytic Streptococcus, or group A strep ( GAS ) is a gram-positive coccus (spherical bacteria) that is ubiquitous, [emedicinehealth.com]
Wilde, MD, FAAP, Associate Professor, Emergency Medicine and Pediatrics, Section Chief, Pediatric Emergency Medicine, Medical College of Georgia, Augusta, GA Streptococcus pyogenes is an aerobic, gram-positive coccus, forming either short or long chains [ahcmedia.com]
G ENERAL DESCRIPTION M icrobiology Streptococcus pyogenes, or Group A streptococcus (GAS), is a facultative, Gram-positive coccus which grows in chains and causes numerous infections in humans including pharyngitis, tonsillitis, scarlet fever, cellulitis [antimicrobe.org]
- Beta-Hemolytic Streptococcus Group A
Also Known As Group B Beta-hemolytic Streptococcus Group B Streptococcus Group B Strep GBS Strep Group B Streptococcus agalactiae Beta-hemolytic Strep Culture Formal Name Prenatal Group B Streptococcus Screening This article was last modified on May 6 [labtestsonline.org]
- Vibrio Vulnificus
The former was a woman with group A (beta) hemolytic Streptococcus pyogenes infection, and the latter was a man with Vibrio vulnificus infection. [ncbi.nlm.nih.gov]
- Capnocytophaga Ochracea
We report the clinical and laboratory findings of a child in whom culture of the thyroid pus yielded two bacteria which are part of the normal oropharyngeal flora: capnocytophaga ochracea and group F Beta-hemolytic streptococcus. [ncbi.nlm.nih.gov]
Treatment
OBJECTIVE: To confirm that treatment with an extract of Pelargonium sidoides (EPs 7630) is superior to placebo for the treatment of non-GABHS tonsillopharyngitis in children. DESIGN: Randomized, double-blind, placebo-controlled trial. [ncbi.nlm.nih.gov]
Prognosis
What is the prognosis of a group B strep infection? The prognosis of a GBS infection varies depending on various factors, including the patient's age and the presence of any underlying medical conditions. [medicinenet.com]
Group A Strep (GAS) Infection Prognosis Tonsillopharyngitis and uncomplicated skin and soft-tissue infections caused by GAS have a good prognosis. [emedicinehealth.com]
Prognosis GAS is responsible for more than 2,000 deaths a year. About one in five people infected with flesh-eating bacteria die. So do three out of every five people who develop streptococcal toxic shock syndrome. [encyclopedia.com]
Long-term prognosis is generally thought to be excellent, but some studies found that up to 20% of patients develop urinary abnormalities ( 13 ). [antimicrobe.org]
Etiology
Keywords Adolescent — Adult — Female — Humans — Male — Meningitis, Bacterial/ etiology/microbiology — Middle Aged — Streptococcal Infections/ etiology/microbiology — Streptococcus pyogenes/pathogenicity — Virulence Identifiers DOI: 10.1086/520461 PMID [archive-ouverte.unige.ch]
Incidence of specific etiology and role of methods for specific etiologic diagnosis of primary acute pericarditis. Am J Cardiol 1995; 75:378-382 Chapter 9 SPECIFIC PERICARDIAL DISORDERS Congenital malformations and acquired diseases 1. [books.google.es]
ETIOLOGICAL AGENT : Streptococcus pyogenes NOTE : All beta-hemolytic streptococci are grouped from A to U based on the C-antigen (Lancefield classification). [atsu.edu]
Most children and adolescents who develop a sore throat do not have GABHS as the cause; their infection is viral in etiology. [ncbi.nlm.nih.gov]
but all beta hemolytic streptococci and a few non - beta hemolytic streptococci ( S. dysgalactiae ) Lancefield Group A Streptococci (GAS) = S. pyogenes Lancefield Group B Streptococci (GBS) = S. agalactiae "pneumococcus" = Streptococcus pneumoniae Etiology [pathologyoutlines.com]
Epidemiology
Epidemiological analysis of group A streptococci recovered from patients in China. J Med Microbiol 2006;55:1101-7. [Table 1], [Table 2] [jlponline.org]
Modes of transmission, age distribution of cases, and other epidemiologic features are similar to those for streptococcal pharyngitis. [emedicine.medscape.com]
& Schuchat A. (2002) Epidemiology of Invasive Group A Streptococcus Disease in the United States, 1995-1999. Clinical Infectious Diseases. 35, 268-276. 4. Efstratiou A. (2000) Group A streptococci in the 1990s. [alere.com]
Evolving epidemiology of pediatric Staphylococcus aureus cutaneous infections in a Baltimore hospital. Pediatr Emerg Care 2006;22:717-723. 22. Kilbane BJ, Reynolds SL. [ahcmedia.com]
Sub-typing strains of GAS has proven invaluable for epidemiological studies, in much the same way that phage typing has been useful to define the epidemiology of Staphylococcus aureus. [antimicrobe.org]
Pathophysiology
The pathophysiology, classification, and treatment of invasive group A streptococcal infection is discussed. [ncbi.nlm.nih.gov]
Recent interest in the pathophysiology of this disorder has focused on the role of streptococcal pyrogenic exotoxins (SPEs), extracellular products of group A streptococci that mediate not only scarlatiniform-like rashes but also multi-organ damage and [antimicrobe.org]
Prevention
Benzathine penicillin chemoprophylaxis is safe and effective for interdicting and preventing GABHS outbreaks in closed, healthy young adult populations. [ncbi.nlm.nih.gov]
Group B Strep Prevention (GBS, baby strep, Group B streptococcal bacteria) General Public, Frequently Asked Questions. Centers for Disease Control and Prevention [On-line information]. [labtestsonline.it]