Two cases of group A streptococcal vulvovaginitis in premenopausal adults in a sexual health setting

Sexual Health ◽  
2006 ◽  
Vol 3 (3) ◽  
pp. 187 ◽  
Author(s):  
Susan Bray ◽  
Jane Morgan
Keyword(s):  
Sexual Health ◽  
Group A Streptococcus ◽  
Group B Streptococcus ◽  
Review Of The Literature ◽  
Group A ◽  
Group B

Two cases of group A streptococcus (GAS) causing vulvovaginitis in premenopausal adults are described. A review of the literature of genital GAS is made, as this is an uncommon cause of vulvovaginitis in premenopausal adults. Contrasts are made between anogenital carriage of GAS and group B streptococcus (GBS) to highlight the differences in anogenital carriage between these two organisms.

Group B Streptococcal Infections: An Obstetrical Viewpoint

PEDIATRICS ◽  
1993 ◽  
Vol 91 (1) ◽  
pp. 148-149
Author(s):  
JOHN W. LARSEN ◽  
SHARON L. DOOLEY
Keyword(s):  
Group A Streptococcus ◽  
Group B Streptococcus ◽  
Perinatal Transmission ◽  
Pediatric Care ◽  
Care Providers ◽  
The Past ◽  
American Academy Of Pediatrics ◽  
Group A ◽  
The 1960S ◽  
Group B

Group B Streptococcus (GBS) was first identified as a cause of puerperal sepsis during the late 1930s. However, concern regarding GBS was diminished in part by the greater pathogenicity of the group A Streptococcus, which was described in the same studies. Clinical research regarding GBS infections resumed during the 1960s. Data regarding the perinatal transmission of GBS have now accumulated to an extent that education of all obstetric and pediatric care providers is imperative. During the past 2 years, committees of both the American College of Obstetricians and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP) have considered the issues of perinatal transmission of GBS. Each group had input from the other by a series of meetings and document exchanges.

scholarly journals Invasive bacterial diseases in northern Canada, 1999 to 2018

2021 ◽  
Vol 47 (11) ◽  
pp. 491-499
Author(s):  
Grace Huang ◽  
Irene Martin ◽  
Raymond S Tsang ◽  
Walter H Demczuk ◽  
Gregory J Tyrrell ◽  
...  
Keyword(s):  
Burden Of Disease ◽  
Group A Streptococcus ◽  
Group B Streptococcus ◽  
Age Groups ◽  
Incidence Rates ◽  
Northern Canada ◽  
Bacterial Diseases ◽  
Group A ◽  
Serotype B ◽  
Group B

Background: The International Circumpolar Surveillance (ICS) program conducts surveillance on five invasive bacterial diseases: pneumococcal disease (IPD), group A streptococcus (iGAS), Haemophilus influenzae (Hi), meningococcal disease (IMD) and group B streptococcus (GBS). Invasive bacterial diseases have a higher burden of disease in northern populations than the rest of Canada. Methods: To describe the epidemiology of invasive bacterial diseases in northern Canada from 1999 to 2018, data for IPD, iGAS, Hi, IMD and GBS were extracted from the ICS program and the Canadian Notifiable Diseases Surveillance System (CNDSS) and analyzed. Results: The annualized incidence rates for IPD, iGAS, Hi, GBS and IMD were 23.3, 10.5, 8.9, 1.9 and 1.1 per 100,000 population, respectively. The incidence of IPD, iGAS and Hi serotype b were 2.8, 3.2 and 8.8 times higher, respectively, in northern Canada than in the rest of Canada. Rates of disease decreased statistically significantly for IPD (β=−0.02) and increased statistically for iGAS (β=0.08) and Hi serotype a (β=0.04) during the study period. In Northern Canada, the annualized incidence rates for IPD, iGAS and Hi were statistically higher for Indigenous residents than for non-Indigenous residents. The highest incidence rates were among the very young and older age groups. Conclusion: Invasive bacterial diseases represent a high burden of disease in Canada’s northern populations. Indigenous peoples, children and seniors are particularly at risk.

scholarly journals The Relevance of IL-1-Signaling in the Protection against Gram-Positive Bacteria

Pathogens ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. 132
Author(s):  
Angelina Midiri ◽  
Giuseppe Mancuso ◽  
Concetta Beninati ◽  
Elisabetta Gerace ◽  
Carmelo Biondo
Keyword(s):  
Host Defense ◽  
Group A Streptococcus ◽  
Bacterial Species ◽  
Interleukin 1 ◽  
Group B Streptococcus ◽  
Gram Positive ◽  
Gram Positive Bacteria ◽  
Group A ◽  
Group B ◽  
Deficient Mice

Previous studies performed using a model of group B streptococcus (GBS)-induced peritoneal inflammation indicate that the interleukin-1 receptor (IL-1R) family plays an important role in the innate host defense against this encapsulated Gram-positive bacteria. Since the role of IL-1-dependent signaling in peritoneal infections induced by other Gram-positive bacteria is unknown, in the present study we sought to investigate the contribution of IL-1R signaling in host defenses against Streptococcus pyogenes (group A streptococcus or GAS) or Staphylococcus aureus, two frequent and global human Gram-positive extracellular pathogens. We analyzed here the outcome of GAS or S. aureus infection in IL-1R-deficient mice. After inoculated intraperitoneal (i.p.) inoculation with group A Streptococcus or S. aureus, all the wild-type (WT) control mice survived the challenge, while, respectively, 63% or 50% of IL-1-defective mice died. Lethality was due to the ability of both bacterial species to replicate and disseminate to the target organs of IL-1R-deficient mice. Moreover, the experimental results indicate that IL-1 signaling promotes the production of leukocyte attractant chemokines CXCL-1 and CXCL-2 and recruitment of neutrophils to bacterial infection sites. Accordingly, the reduced neutrophil recruitment in IL-1R-deficient mice was linked with decreased production of neutrophil chemokines. Collectively, our findings indicate that IL-1 signaling, as previously showed in host defense against GBS, plays a fundamental role also in controlling the progression and outcome of GAS or S. aureus disease.

scholarly journals 1625. Risk of Invasive Group A Streptococcus, Group B Streptococcus, and Streptococcus pneumoniae Infection Among Adults Experiencing Homelessness—Anchorage, Alaska, 2002–2015

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S593-S593
Author(s):  
Emily Mosites ◽  
Tammy Zulz ◽  
Dana Bruden ◽  
Leisha Nolen ◽  
Anna Frick ◽  
...  
Keyword(s):  
Streptococcus Pneumoniae ◽  
General Population ◽  
Group A Streptococcus ◽  
Group B Streptococcus ◽  
Pneumococcal Infection ◽  
Homeless Population ◽  
Invasive Group ◽  
Increased Risk ◽  
Group A ◽  
Group B

Abstract Background People experiencing homelessness (PEH) have an increased risk of infectious disease. However, for many infections, this increased risk has not been clearly quantified. For example, the risk of invasive streptococcal infection has not been established among PEH in the United States. Methods We compared the incidence of detected cases of invasive group A Streptococcus (GAS) infection, group B Streptococcus (GBS) infection, and Streptococcus pneumoniae (pneumococcal) infection among adult PEH to that in the general adult population in Anchorage, Alaska from 2005 through 2015 using data from the CDC Arctic Investigations Program surveillance system, the US census, and the Anchorage Point in Time count (PIT [a yearly census of PEH]). Results During 2005–2015, the PIT counted a mean number of 970 adults (minimum 795, maximum 1486) in Anchorage who were homeless, which accounted for 0.4% of the total population. Compared with the general population, PEH were 53 times as likely to have invasive GAS infection (95% CI 47–61), 7 times as likely to have invasive GBS infection (95% CI 6, 8), and 36 times as likely to have invasive pneumococcal infection (95% CI 33, 40). Of all invasive GAS cases in Anchorage over the time period, 19% occurred within the homeless population, while 3% of invasive GBS cases and 14% of invasive pneumococcal cases were within the homeless population. Additionally, the predominant subtypes of GAS and pneumococcus differed among PEH compared with the general population. Conclusion A disproportionate burden of invasive streptococcal disease in Anchorage was detected among PEH, indicating a need for further focus on this high-risk group. Disclosures All authors: No reported disclosures.

An Emerging Infection: Streptococcal Toxic Shock-Like Syndrome Caused By Group B Streptococcus (GBS), Streptococcus Agalactiae

2020 ◽  
Vol 154 (Supplement_1) ◽  
pp. S140-S140
Author(s):  
F Rajack ◽  
A Afsari ◽  
A M Ramadan ◽  
T J Naab
Keyword(s):  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Streptococcus Agalactiae ◽  
Group A Streptococcus ◽  
Multiorgan Failure ◽  
Group B Streptococcus ◽  
Stage Iii ◽  
Streptococcal Toxic Shock Syndrome ◽  
Toxic Shock ◽  
Group B

Abstract Introduction/Objective Streptococcus agalactiae, Group B Streptococcus (GBS), is a major cause of neonatal sepsis and infections in pregnant women. However, incidence of invasive GBS infections has more than doubled in the last two decades with highest risk in adults 65 years or older. Other risk factors are diabetes, malignancy, and immunocompromised state. Bacteremia and skin soft tissue infections are the most common invasive infections in nonpregnant adults. Rarely GBS infection has a fulminating pyrogenic exotoxin-mediated course characterized by acute onset, multiorgan failure, shock, and sometimes death, referred to as toxic shock-like syndrome. Methods A 77-year-old hypertensive female with uncontrolled type 2 diabetes mellitus and a history of bilateral foot ulcers presented to the hospital in probable septic shock. Clinical diagnosis of necrotizing fasciitis was made and she underwent bilateral lower limb amputations. Results Grossly soft tissue appeared gray. Microscopically fascia was necrotic without neutrophils present and Gram stain revealed sheets of Gram positive cocci. These findings reflected histopathologic Stage III necrotizing fasciitis, which is associated with 47% mortality. Autopsy showed a similar histology of Stage III necrotizing fasciitis involving the surgical stump. Erythema and desquamation of the upper limbs bilaterally and multi-organ failure met the clinical picture of Streptococcal Toxic Shock Syndrome (STSS) and fulfilled the criteria for TSS due to Group A Streptococcus (GAS), defined by The Working Group on Severe Streptococcal Infections. Conclusion Group B Streptococcal Toxic Shock-Like Syndrome may have a similar outcome to STSS caused by GAS and other pathogens and, in limited studies, mortality has been 30% or greater.

scholarly journals Characterization of Clinical and Carrier Streptococcus agalactiae and Prophage Contribution to the Strain Variability

Viruses ◽  
2020 ◽  
Vol 12 (11) ◽  
pp. 1323
Author(s):  
Aneta Lichvariková ◽  
Katarina Soltys ◽  
Tomas Szemes ◽  
Livia Slobodnikova ◽  
Gabriela Bukovska ◽  
...  
Keyword(s):  
Streptococcus Agalactiae ◽  
Bacterial Infections ◽  
Group B Streptococcus ◽  
Host Bacterium ◽  
Phage Integrase ◽  
Integration Sites ◽  
Group A ◽  
Pcr Method ◽  
Group B

Streptococcus agalactiae (group B Streptococcus, GBS) represents a leading cause of invasive bacterial infections in newborns and is also responsible for diseases in older and immunocompromised adults. Prophages represent an important factor contributing to the genome plasticity and evolution of new strains. In the present study, prophage content was analyzed in human GBS isolates. Thirty-seven prophages were identified in genomes of 20 representative sequenced strains. On the basis of the sequence comparison, we divided the prophages into eight groups named A–H. This division also corresponded to the clustering of phage integrase, even though several different integration sites were observed in some relative prophages. Next, PCR method was used for detection of the prophages in 123 GBS strains from adult hospitalized patients and from pregnancy screening. At least one prophage was present in 105 isolates (85%). The highest prevalence was observed for prophage group A (71%) and satellite prophage group B (62%). Other groups were detected infrequently (1–6%). Prophage distribution did not differ between clinical and screening strains, but it was unevenly distributed in MLST (multi locus sequence typing) sequence types. High content of full-length and satellite prophages detected in present study implies that prophages could be beneficial for the host bacterium and could contribute to evolution of more adapted strains.

Streptococcal Submandibular Cellulitis in Young Infants

PEDIATRICS ◽  
1981 ◽  
Vol 67 (3) ◽  
pp. 378-380 ◽  
Author(s):  
Pisespong Patamasucon ◽  
Jane D. Siegel ◽  
George H. McCracken
Keyword(s):  
Clinical Presentation ◽  
Streptococcal Infection ◽  
Group A Streptococcus ◽  
Hemolytic Streptococcus ◽  
Young Infants ◽  
Group A ◽  
Ludwig’S Angina ◽  
Group B ◽  
Ludwig's Angina

Six infants with streptococcal submandibular cellulitis and bacteremia were managed in our institution during a seven-month period. Five uncomplicated cases were caused by group B β-hemolytic Streptococcus, and one rapidly progressive case of Ludwig's angina was caused by group A Streptococcus. Recognition of this characteristic clinical presentation of group B streptococcal infection may be beneficial in the management of such patients.

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