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Streptococcal Infections

  • Chapter
Bacterial Infections of Humans

Abstract

The streptococci are a large heterogeneous group of grampositive spherically shaped bacteria found widely distributed in nature. They include some of the most important agents of human disease, as well as members of the normal human flora. Some streptococci have been associated mainly with disease in animals, while others have been domesticated and used for the culture of buttermilk, yogurt, and certain cheeses. Those known to cause human disease can be thought of as comprising two broad categories: First are the pyogenic streptococci, including the familiar β3-hemolytic streptococci and the pneumococcus. These organisms are not generally part of the normal flora but cause acute, often severe, infections in normal hosts. Second are the more diverse enteric and oral streptococci, which are nearly always part of the normal flora and which are more frequently associated with opportunistic infections.

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References

  1. Anderson, P., and Betts, R., Human adult immunogenicity of protein-coupled pneumococcal capsular antigens of serotypes prevalent in otitis media, Pediatr. Infect. Dis. J. 8:S50–S53 (1989).

    Article  Google Scholar 

  2. Andersson, B., Gray, B. M., Dillon, H. C., Jr., Bahrmand, A., and Svanborg-Eden, C., Role of adherence of Streptococcus pneumoniae in acute otitis media, Pediatr. Infect. Dis. J. 7:476–480 (1988).

    Article  PubMed  CAS  Google Scholar 

  3. Anthony, B. F., Concepcion, N. F., Wass, C. A., and Heiner, D. C., Immunoglobin G and M composition of naturally occurring antibody to type Iii group B streptococci, Infect. Immun. 46:98–104 (1984).

    PubMed  CAS  Google Scholar 

  4. Appelbaum, P. C., World-wide development of antibiotic resistance in pneumococci, Eur. J. Clin. Microbiol. 6:367–377 (1987).

    Article  PubMed  CAS  Google Scholar 

  5. Arditi, M., Shulman, S. T., Davis, T., and Yogev, R., Group C β-hemolytic streptococcal infections in children: Nine pediatric cases and review, Rev. Infect. Dis. 11:34–45 (1989).

    Article  Google Scholar 

  6. Arends, J. P., and Zanen, H. C., Meningitis caused by Streptococcus suis in humans, Rev. Infect. Dis. 10:131–137 (1988).

    Article  PubMed  CAS  Google Scholar 

  7. Austrian, R., Pneumococcus: The first one hundred years, Rev. Infect. Dis. 3:183–189 (1981).

    Article  PubMed  CAS  Google Scholar 

  8. Avery, O. T., Macleod, C. M., and Mccarty, M., Studies on the chemical nature of the substance inducing transformation of pneumococcal types: Induction of transformation by a desoxyribonucleic acid, J. Exp. Med. 79:137–158 (1944).

    Article  PubMed  CAS  Google Scholar 

  9. Ayoub, E. M., Barrett, D. J., Maclaren, N. K., and Krischer, J. P., Association of class Ii human histocompatibility leukocyte antigens with rheumatic fever, J. Clin. Invest. 77:2019–2026 (1986).

    Article  PubMed  CAS  Google Scholar 

  10. Backhouse, C. I., and Cartwright, R. Y., An outbreak of streptococcal skin sepsis in a closed community, Br. Med. J. 3:497–499 (1974).

    Article  PubMed  CAS  Google Scholar 

  11. Baker, C. J., and Kasper, D. L., Group B streptococcal vaccines, Rev. Infect. Dis. 7:458–467 (1985).

    Article  PubMed  CAS  Google Scholar 

  12. Baker, C. J., Edwards, M. S., and Kasper, D. L., Role of antibody to native type Iii polysaccharide of group B streptococcus in infant infections, Pediatrics 68:544–549 (1981).

    PubMed  CAS  Google Scholar 

  13. Baker, C. J., Rench, M. A., Edwards, M. S., Carpenter, R. J., Hays, B. M., and Kasper, D. L., Immunization of pregnant women with a polysaccharide vaccine of group B streptococcus, N. Engl. J. Med. 319:1180–1185 (1988).

    Article  PubMed  CAS  Google Scholar 

  14. Bassett, D. C. J., Hippelates flies and acute nephritis, Lancet 1:503 (1967).

    Article  Google Scholar 

  15. Beachey, E. H., and Courtney, H. S., Bacterial adherence: The attachment of group A streptococci to mucosal surfaces, Rev. Infect. Dis. 9(Suppl.): S475–S481 (1987).

    Article  Google Scholar 

  16. Becroft, D. M. O., Farmer, J., Mason, J. H., and Morris, M. C., Perinatal infections by group B β-hemolytic streptococci, Br. J. Obstet. Gynaecol. 83:960–966 (1976).

    Article  PubMed  CAS  Google Scholar 

  17. Bessen, D., and Fischetti, V. A., Influence of intranasal immunization with synthetic peptides corresponding to conserved epitopes of M protein on mucosal colonization by group A streptococci, Infect. Immun. 56:2666–2672 (1988).

    PubMed  CAS  Google Scholar 

  18. Bolan, G., Broome, C. V., Facklam, R. R., Plikaytis, B. D., Fraser, D. W., and Schlech, W. F,. III, Pneumococcal vaccine efficacy in selected populations in the United States, Ann. Intern. Med. 104:1–6 (1986).

    PubMed  CAS  Google Scholar 

  19. Borzy, M. S., Wolff, L., Gewurz, A., Buist, N. R., and Lovrien, E., Recurrent sepsis with deficiereies of C2 and galactosidase, Am. J. Dis. Child. 138:186–191 (1984).

    PubMed  CAS  Google Scholar 

  20. Boyer, K. M., and Gotoff, S. P., Prevention of neonatal group B streptococcal disease with selective intrapartum chemoprophylaxis, N. Engl. J. Med. 314:1665–1669 (1986).

    Article  PubMed  CAS  Google Scholar 

  21. Boyer, K. M., Vogel, L. C., Gotoff, S. P., Gadzala, C. A., Stringer, J., and Maxted, W. R., Nosocomial transmission of bacteriophage type 7/11/12 group B streptococci in a special care nursery, Am. J. Dis. Child. 134:964–966 (1980).

    PubMed  CAS  Google Scholar 

  22. Boyer, K. M., Gadzala, C. A., Burd, L. I., Fisher, D. E., Paton, J. B., and Gotoff, S. P., Selective intrapartum chemoprophylaxis of neonatal group B streptococcal earlyonset disease. I. Epidemiologic rationale, J. Infect. Dis. 148:795–801 (1983).

    Article  PubMed  CAS  Google Scholar 

  23. Braconier, J. H., Nilsson, B., Oxelius, V. A., and Karup-Pedersen, F., Recurrent pneumococcal infections in a patient with lack of specific IgG and IgM pneumococcal antibodies and deficiency of serum IgA, IgG2 and IgG4, Scand. J. Infect. Dis. 16:407–410 (1984).

    Article  PubMed  CAS  Google Scholar 

  24. Bratton, L., Teele, D. W., and Klein, J. O., Outcome of unsuspected pneumococcemia in children not initially admitted to the hospital, J. Pediatr. 90:703–706 (1977).

    Article  PubMed  CAS  Google Scholar 

  25. Breese, B. B., Disney, F. A., and Talpey, W., The nature of a small pediatric group practice. Ii. The incidence of beta streptococcal illness in a private pediatric practice, Pediatrics 38:277–285 (1966).

    PubMed  CAS  Google Scholar 

  26. Breese, B. B., Denny, F. W., Dillon, H. C., Jr., Stillerman, M., Nelson, J. D., and Mccracken, G. H., Consensus: Difficult management problems in children with streptococcal pharyngitis, Pediatr. Infect. Dis. J. 4:10–13 (1985).

    Article  CAS  Google Scholar 

  27. Briles, D. E., Scott, G., Gray, B. M., Crain, M. J., Blaese, M., Nahm, M., Scott, V., and Haber, P., Naturally occurring antibodies to phosphocholine as a potential index of antibody responsiveness to polysaccharides, J. Infect. Dis. 155:1307–1314 (1987).

    Article  PubMed  CAS  Google Scholar 

  28. Brimblecombe, F. S. W., Cruickshank, R., Masters, P. L., and Reid, D. D., Family studies of respiratory infections, Br. Med. J. 1:119–128 (1958).

    Article  PubMed  CAS  Google Scholar 

  29. Brook, I., Role of beta-lactamase-producing bacteria in the failure of penicillin to eradicate group A streptococci, Pediatr. Infect. Dis. J. 4:491–495 (1985).

    Article  CAS  Google Scholar 

  30. Bryan, C. S., Reynolds, K. L., and Brown, J. S., Mortality associated with enterococcal bacteremia, Surg. Gynecol. Obstet. 160:557–561 (1985).

    PubMed  CAS  Google Scholar 

  31. Buntain, W. L., and Lynn, H. B., Splenorrhaphy: Changing concepts for the traumatized spleen, Surgery 86:748–760 (1979).

    PubMed  CAS  Google Scholar 

  32. Butter, M. N., and Demoor, C. E., Streptococcus agalactiae as a cause of meningitis in the newborn, and of bacteraemia in adults, Antonie van Leeuwenhoek J. Microbiol. Serol. 33:439–450 (1967).

    Article  Google Scholar 

  33. Centers for Disease Control, Update: Pneumococcal polysaccharide vaccine usage-United States, Morbid. Mortal. Weekly Rep. 33:273–281 (1984).

    Google Scholar 

  34. Centers for Disease Control, Group A, β hemolytic Streptococcus skin infections in a meat-packing plant-Oregon, Morbid. Mortal. Weekly Rep. 35:629–630 (1986).

    Google Scholar 

  35. Centers for Disease Control, Acute rheumatic fever at a Navy training center, San Diego, California, Morbid. Mortal. Weekly Rep. 37:101–104 (1988).

    Google Scholar 

  36. Chhatwal, G. S., Dutra, I. S., and Blobel, H., Fibrinogen binding inhibits the fixation of the third component of human complement on surface of group A, B, C, and G streptococci, Microbiol. Immunol. 29:973–980 (1985).

    PubMed  CAS  Google Scholar 

  37. Christie, C. D. C., Havens, P. L., and Shapiro, E. D., Bacteremia with group A streptococci in childhood, Am. J. Dis. Child. 142:559–561 (1988).

    PubMed  CAS  Google Scholar 

  38. Christie, R., Atkins, N. E., and Munch-Petersen, E., A note on a lytic phenomenon shown by group B streptococci, Aust. J. Exp. Biol. Med. Sci. 22:197–200 (1944).

    Article  Google Scholar 

  39. Chun, L. T., Reddy, D. V., and Yamamoto, L. G., RheumatiC fever in children and adolescents in Hawaii, Pediatrics 79:549–552 (1987).

    PubMed  CAS  Google Scholar 

  40. Clancy, R. L., Cripps, A. W., Husband, A. J., and Buckley, D., Specific immune response in the respiratory tract after administration of an oral polyvalent bacterial vaccine, Infect. Immun. 39:491–496 (1983).

    PubMed  CAS  Google Scholar 

  41. Cleat, P. H., and Timms, K. N., Cloning and expression in Escherichia coli of the Ibc protein genes of group B streptococci: Binding of human immunoglobin A to the beta antigen, Infect. Immun. 55:1151–1155 (1987).

    PubMed  CAS  Google Scholar 

  42. Cochi, S., and Feldman, R., Estimating national incidence of group B streptococcal disease: The effect of adjusting for birth weight, Pediatr. Infect. Dis. J. 2:414–415 (1983).

    Article  CAS  Google Scholar 

  43. Committee on Issues and Priorities for New Vaccine Development, National Academy of Science Institute of Medicine, New Vaccine Development: Establishing Priorities, Volume I, Diseases of Importance in the United States, National Academy Press, Washington, D.C., 1985.

    Google Scholar 

  44. Committee on Issues and Priorities for New Vaccine Development, National Academy of Science Institute of Medicine, New Vaccine Development: Establishing Priorities, Volume II, Diseases of Importance in Developing Countries, National Academy Press, Washington, D.C., 1986.

    Google Scholar 

  45. Committee on Prevention of Rheumatic Fever and Bacterial Endocarditis of the American Heart Association, Prevention of bacterial endocarditis, Circulation 70:1123A (1984).

    Google Scholar 

  46. Cone, L. A., Woodward, D. R., Schlievert, P. M., and Tomory, G. S., Clinical and bacteriologic observations of a toxic shock-like syndrome due to Streptococcus pyogenes, N. Engl. J. Med. 317:146–149 (1987).

    Article  CAS  Google Scholar 

  47. Converse, G. M., Iii, and Dillon, H. C., Jr., Epidemiological studies of Streptococcus pneumoniae in infants: Methods of isolating pneumococci, J. Clin. Microbiol. 5:293–296 (1977).

    PubMed  Google Scholar 

  48. Craven, D. E., Rixinger, A. I., Bisno, A. L., Goularte, T. A., and Mccabe, W. R., Bacteremia caused by group G streptococci in parenteral drug abusers: Epidemiological and clinical aspects, J. Infect. Dis. 153:988–992 (1986).

    Article  PubMed  CAS  Google Scholar 

  49. Cunningham, M. W., Mccormack, J. M., Talaber, L. R., Harley, J. B., Ayoub, E. M., Muneer, R. S., Chun, L. T., and Reddy, D. V., Human monoclonal antibodies reactive with antigens of the group A streptococcus and human heart, J. Immunol. 141:2760–2766 (1988).

    PubMed  CAS  Google Scholar 

  50. D’Alessandri, R., Plotkin, G., Kluge, R. M., and Waldman, R. H., Protective studies with group A streptococcal M protein vaccine. Iii. Challenge of volunteers after systemic or intranasal immunization with type 3 or type 12 group A streptococcus, J. Infect. Dis. 138:712–718 (1978).

    Article  PubMed  Google Scholar 

  51. Daugaard, H. O., Thomsen, A. C., Henriques, U., and Ostergaard, A., Group B streptococci in the lower urogenital tract and late abortions, Am. J. Obstet. Gynecol. 158:28–31 (1988).

    PubMed  CAS  Google Scholar 

  52. Dillon, H. C., Derrick, C. W., and Dillon, M. S., Mantigens common to pyoderma and acute glomerulonephritis, J. Infect. Dis. 103:257–267 (1974).

    Article  Google Scholar 

  53. Dillon, H. C., Jr., Gbs: The childhood and adolescent years, Antibiot. Chemother. 35:1–9 (1985).

    PubMed  Google Scholar 

  54. Dillon, H. C., Jr., Khare, S., and Gray, B. M., Group B streptococcal carriage and disease: A 6 year prospective study, J. Pediatr. 110:31–36 (1987).

    Article  PubMed  Google Scholar 

  55. Douglas, R. M., Paton, J. C., Duncan, S. J., and Hansman, D. J., Antibody response to pneumococcal vaccination in children younger than five years of age, J. Infect. Dis. 148:131–137 (1983).

    Article  CAS  Google Scholar 

  56. Duma, R. J., Weinberg, A. N., Medrek, T. F., and Kuntz, L. G., Streptococcal infections, Medicine 48:87–127 (1969).

    Article  Google Scholar 

  57. Eads, M. E., Levy, N. J., Kasper, D. L., Baker, C. J., and Nicholson-Weber, A., Antibody-independent activation of Cl by type Ia group B streptococci, J. Infect. Dis. 146:665–671 (1982).

    Article  PubMed  CAS  Google Scholar 

  58. Eickhoff, T. C., Klein, J. O., Daly, A. K., Ingal, P., and Finland, M., Neonatal sepsis and other infections due to group B beta-hemolytic streptococci, N. Engl. J. Med. 271:1221–1228 (1964).

    Article  PubMed  CAS  Google Scholar 

  59. Eisenstein, T. K., De Cueninck, B. J., Resavy, D., Shockman, G. D., Carey, R. B., and Swenson, R. M., Quantitative determination in human sera of vaccine induced antibody to type-specific polysaccharides of group B streptococci using an enzyme-linked immunosorbant assay, J. Infect. Dis. 147:847–856 (1983).

    Article  PubMed  CAS  Google Scholar 

  60. Facklam, R. R., and Carey, R. B., Streptococci and aerococci, in: Manual of Clinical Microbiology, 4th ed. (E. H. Lannette, ed.), pp. 154–175, American Society for Microbiology, Washington, D.C., 1985.

    Google Scholar 

  61. Fast, D. J., Schlievert, P. M., and Nelson, R. D., Toxic shock syndrome-associated staphylococcal and streptococcal pyrogenic toxins are potent inducers of tumor necrosis factor production, Infect. Immun. 57:291–294 (1989).

    PubMed  CAS  Google Scholar 

  62. Fedson, D. S., Improving the use of pneumococcal vaccine through a strategy of hospital-based immunization, J. Am. Geriatr. Soc. 33:142–150 (1985).

    PubMed  CAS  Google Scholar 

  63. Finch, R., Is pneumococcal infection a preventable disease? J. Infect. 17:95–98 (1988).

    Article  PubMed  CAS  Google Scholar 

  64. Finland, M., Spring, W. C., and Lowell, F. C., Specific treatment of the pneumococcic pneumonias: An analysis of the results of serum therapy and chemotherapy at the Boston City Hospital from July 1938 through June 1939, Ann. Intern. Med. 13:1567–1593 (1940).

    Google Scholar 

  65. Fischer, G. W., Immunoglobin therapy of neonatal group B streptococcal infections: An overview, Pediatr. Infect. Dis. J. 7(Suppl): S13–S16 (1988).

    Article  Google Scholar 

  66. Gallagher, P. G., and Watanakunakorn, C., Group B streptococcal endocarditis: Report of seven cases and review of the literature, 1962–1985, Rev. Infect. Dis. 8:175–188 (1986).

    Article  PubMed  CAS  Google Scholar 

  67. Gaworzewska, E., and Colman, G., Changes in the pattern of infection caused by Streptococcus pyogenes, Epidemiol. Infect. 100:257–269 (1988).

    Article  CAS  Google Scholar 

  68. Gerber, M. A., Randolph, M. F., and Mayo, D. R., The group A streptococcal carrier state: A reexamination, Am. J. Dis. Child. 142:562–565 (1988).

    PubMed  CAS  Google Scholar 

  69. Gibberd, G. F., Puerperal sepsis 1930–1965, J. Obstet. Gynaecol. Br. Commonw. 73:1–10 (1966).

    Article  PubMed  CAS  Google Scholar 

  70. Giebink, G. S., Preventing pneumococcal disease in children: Recommendations for using pneumococcal vaccine, Pediatr. Infect. Dis. J. 4:343–348 (1985).

    Article  CAS  Google Scholar 

  71. Ginsburg, I., Streptococcal enzymes and virulence, in: Bacterial Enzymes and Virulence (I. A. Holder, ed.), pp. 122–144, Crc Press, Boca Raton, 1985.

    Google Scholar 

  72. Glass, R. L., Alman, J. E., and Chauncy, H. H., A 10year longitudinal study of caries incidence rates in a sample of male adults in the Usa, Caries Res. 21:360–367 (1987).

    Article  PubMed  CAS  Google Scholar 

  73. Gnann, J. W., Jr., Gray, B. M., Griffin, F. M., Jr., and Dismukes, W. E., Acute glomerulonephritis following group G streptococcal infection. J. Infect. Dis. 156:411–412 (1987).

    Article  PubMed  Google Scholar 

  74. Goldmann, D. A., and Breton, S. J., Group C streptococcal surgical wound infections transmitted by an anorectal and nasal carrier, Pediatrics 61:235–237 (1978).

    Google Scholar 

  75. GooD, R. A., and Pahwa, R. N. (eds.), The recognition and management of immunodeficient disorders, Pediatr. Infect. Dis. J. 7(Suppl.): S2–S125 (1988).

    Google Scholar 

  76. Gosling, J., Occurrence and pathogenicity of the Streptococcus milleri group, Rev. Infect. Dis. 10:257–285 (1988).

    Article  Google Scholar 

  77. Gotoff, S. P., Odell, C., Papierniak, C. P., Klegerman, M. E., and Boyer, K. M., Human IgG antibody to group B Streptococcus type III: Comparison of protective levels in a murine model with levels in infected human neonates, J. Infect. Dis. 153:511–519 (1986).

    Article  PubMed  CAS  Google Scholar 

  78. Gray, B. M., and Dillon, H. C., Jr., Gbs infections in mothers and their infants, Antibiot. Chemother. 35:225–236 (1985).

    PubMed  CAS  Google Scholar 

  79. Gray, B. M., and Dillon, H. C., Jr., Clinical and epidemiologic studies of pneumococcal infections in children, Pediatr. Infect. Dis. J. 5:201–207 (1986).

    Article  CAS  Google Scholar 

  80. Gray, B. M., and Dillon, H. C., Jr., Epidemiologic studies of Streptococcus pneumoniae in infants: Antibody to types 3, 6, 14, and 23 in the first two years of life, J. Infect. Dis. 158:948–955 (1988).

    Article  CAS  Google Scholar 

  81. Gray, B. M., and Dillon, H. C., Jr., Natural history of pneumococcal infections, Pediatr. Infect. Dis. J. 8(Suppl.): S23–S25 (1989).

    Google Scholar 

  82. Gray, B. M., Converse, G. M., Iii, and Dillon, H. C., Jr., Serotypes of Streptococcus pneumoniae causing disease, J. Infect. Dis. 140:979–983 (1979).

    Article  PubMed  CAS  Google Scholar 

  83. Gray, B. M., Pass, M. A., and Dillon, H. C., Jr., Laboratory and field evaluation of selective media for isolation of group B streptococci, J. Clin. Microbiol. 9:466–470 (1979).

    PubMed  CAS  Google Scholar 

  84. Gray, B. M., Converse, G. M., III, and Dillon, H. C., Jr., Epidemiologic studies of Streptococcus pneumoniae in infants: Acquisition, carriage and infection during the first 24 months of life, J. Infect. Dis. 146:923–933 (1980).

    Article  Google Scholar 

  85. Gray, B. M., Turner, M. E., and Dillon, H. C., Jr., Epidemiologic studies of Streptococcus pneumoniae in infants: The effects of season and age on pneumococcal acquisition and carriage in the first 24 months of life, Am. J. Epidemiol. 116:692–703 (1982).

    PubMed  CAS  Google Scholar 

  86. Gray, B. M., Pritchard, D. G., and Dillon, H. C., Jr., Seroepidemiological studies of group B Streptococcus type Ii, J. Infect. Dis. 151:1073–1080 (1985).

    Article  PubMed  CAS  Google Scholar 

  87. Gray, B. M., Dillon, H. C., Jr., Pritchard, D. G., Feinstein, R. A., Oh, K., and Michalek, S. M., Type-specific antibodies against group B streptococci in human serum, saliva and vaginal secretions, Adv. Exp. Med. Biol. 216:995–1003 (1987).

    Google Scholar 

  88. Gray, B. M., Pritchard, D. G., and Dillon, H. C., Jr., Seroepidemiology of group B Streptococcus type III at delivery, J. Infect. Dis. 159:1139–1142 (1989).

    Article  PubMed  CAS  Google Scholar 

  89. Gullberg, R. M., The enterococcus, Infect. Control 7:600–606 (1986).

    PubMed  CAS  Google Scholar 

  90. Håkansson, S., Holm, S. E., and Wagner, M., Density profile of group B streptococci, type III, and its possible relation to enhanced virulence, J. Clin. Microbiol. 25:714–718 (1987).

    PubMed  Google Scholar 

  91. Haverkorn, M. J. (ed.), Streptococcal Disease and the Community, American Elsevier, New York, and Excerpta Medica, Amsterdam, 1974.

    Google Scholar 

  92. Hendley, J. O., Sande, M. A., Stewart, P. M., and Gwaltney, J. M., Jr., Spread of Streptococcus pneumoniae in families. I. Carriage rates and distribution of types, J. Infect. Dist. 132:55–61 (1975).

    Article  CAS  Google Scholar 

  93. Hodges, R. G., and Macleod, C. M., Epidemic pneumococcal pneumonia, Am. J. Hyg. 44:183–213 (1946).

    PubMed  CAS  Google Scholar 

  94. Hood, J., and Janney, A., Beta hemolytic streptococcus group B associated with problems of the perinatal period, Am. J. Obstet. Gynecol. 82:809–818 (1961).

    PubMed  CAS  Google Scholar 

  95. Hook, E. W., Hooton, T. M., Horton, C. A., Coyle, M. B., Ramsey, P. G., and Turck, M., Microbiologic evaluation of cutaneous cellulitis in adults, Arch. Intern. Med. 146:295–297 (1986).

    Article  PubMed  Google Scholar 

  96. Hosier, D. M., Craemen, J. M., Teske, D. W., and Wheller, J. J., Resurgence of acute rheumatic fever, Am. J. Dis. Child. 141:730–732 (1987).

    PubMed  CAS  Google Scholar 

  97. Hostetter, M. K., Serotypic variations among virulent pneumococci in deposition and degradation of covalently bound C3b: Implications for phagocytosis and antibody production, J. Infect. Dis. 153:682–693 (1986).

    Article  PubMed  CAS  Google Scholar 

  98. Huang, D. H., Krishna, N. R., and Pritchard, D. G., Characterization of the group A streptococcal polysaccharide by two-dimensional 1H-nuclear-resonance spectroscopy, Carbohydr. Res. 155:193–199 (1986).

    Article  PubMed  CAS  Google Scholar 

  99. Ispahani, P., Donald, F. E., and Aveline, A. J. D., Streptococcus pyogenes bacteremia: An old enemy subdued but not defeated, J. Infect. 16:37–46 (1988).

    Article  PubMed  CAS  Google Scholar 

  100. Jabes, D., Nachman, S., and Tomasz, A., Penicillin-binding protein families: Evidence for the clonal nature of penicillin resistance in clinical isolates of pneumococci, J. Infect. Dis. 159:16–25 (1989).

    Article  PubMed  CAS  Google Scholar 

  101. Jarvis, W. R., White, J. W., Mann, P. W., Mosser, J. L., Emori, T. G., Culver, D. H., Thornsberry, C., and Hughes, J. M., Nosocomial infection surveillance, 1983, Morbid. Mortal. Weekly Rep. 33:9SS–21SS (1984).

    Google Scholar 

  102. Jensen, N. E., Epidemiological aspects of human/animal interrelationships in Gbs, Antibiot. Chemother. 35:40–48 (1985).

    PubMed  CAS  Google Scholar 

  103. Johnson, D. R., and Kaplan, E., Microtechnique for serum opacity factor for characterization of group A streptococci adaptable to the use of human sera, J. Clin. Microbiol. 26:2025–2030 (1988).

    PubMed  CAS  Google Scholar 

  104. Johnston, K. H., and Zabriskie, J. B., Purification and partial characterization of the nephritis strain-associated protein from Streptococcus pyogenes, group A, J. Exp. Med. 163:697–712 (1986).

    Article  PubMed  CAS  Google Scholar 

  105. Jones Criteria (Revised) for Guidance in Diagnosis of Rheumatic Fever, Circulation 69:203A–208A (1984).

    Article  Google Scholar 

  106. Jurgens, D., Sterzik, B., and Fehrenbach, F. J., Unspecific binding of group B streptococcal cocytolysin (Camp factor) to immunoglobins and its possible role in pathogenicity, J. Exp. Med. 165:720–732 (1987).

    Article  PubMed  CAS  Google Scholar 

  107. Kaplan, E. L., The group A streptococcal upper respiratory tract carrier state: An enigma, J. Pediatr. 97:337–345 (1980).

    Article  PubMed  CAS  Google Scholar 

  108. Kaplan, E. L., The rapid identification of group A betahemolytic streptococci in the upper respiratory tract, Pediatr. Clin North Am. 35:535–543 (1988).

    PubMed  CAS  Google Scholar 

  109. Kaplan, E. L., Johnson, D. R., and Cleary, P. P., Group A streptococcal serotypes isolated from patients and sibling contacts during the resurgence of rheumatic fever in the United States in the mid-1980s, J. Infect. Dis. 159:101–103 (1989).

    Article  PubMed  CAS  Google Scholar 

  110. Kass, E. H., and Seastone, C. V., The role of the mucoid polysaccharide (hyaluronic acid) in the virulence of group A streptococci, J. Exp. Med. 79:319–330 (1944).

    Article  PubMed  CAS  Google Scholar 

  111. Katz, V., and Bowes, W. A., Perinatal group B streptococcal infections across intact amniotic membranes, J. Reprod. Med. 33:445–449 (1988).

    PubMed  CAS  Google Scholar 

  112. Kefalides, N. A., Pegg, M. T., Ohno, N., Poon-King, T., Zabriskie, J., and Fillit, H., Antibodies to basement membrane collagen and to laminin are present in sera from patients with poststreptococcal glomerulonephritis, J. Exp. Med. 163:588–602 (1986).

    Article  PubMed  CAS  Google Scholar 

  113. Kim, K. S., and Kaplan, E. L., Association of penicillin tolerance with failure to eradicate group A streptococci from patients with pharyngitis, J. Pediatr. 107:681–684 (1985).

    Article  PubMed  CAS  Google Scholar 

  114. Klein, J. O., Feigin, R. D., and Mccracken, G. H., Jr., Report of the task force on diagnosis and management of meningitis, Pediatrics 78(Suppl.): 959–982 (1986).

    PubMed  CAS  Google Scholar 

  115. Koskela, M., Leinonen, M., Haiva, V., and Makala, P. H., First and second dose antibody responses to pneumococcal polysaccharide vaccine in infants, Pediatr. Infect. Dis. J. 5:45–50 (1986).

    Article  CAS  Google Scholar 

  116. Lancefield, R. C., and Hare, R., The serological differentiation of pathogenic and nonpathogenic strains of hemolytic streptococci from parturient women, J. Exp. Med. 61:335–349 (1935).

    Article  PubMed  CAS  Google Scholar 

  117. Lancefield, R. C., Mccarty, M., and Everly, W. N., Multiple mouse-protective antibodies directed against group B streptococci, J. Exp. Med. 142:165–179 (1975).

    Article  PubMed  CAS  Google Scholar 

  118. Leclercq, M. H., Barmes, D. E., and Sardo Infirri, J., Oral health: Global trends and projections, World Health Stat. Q. 40:116–128 (1987).

    PubMed  CAS  Google Scholar 

  119. Ledger, W., Norman, M., Gee, C., and Lewis, W., Bacteremia on an obstetric-gynecologic service, Am. J. Obstet. Gynecol. 121:205–212 (1975).

    PubMed  CAS  Google Scholar 

  120. Liang, S. T., Lau, S. P., Chan, S. H., Fok, T. F., Murai, T., and Kaneko, Y., Perinatal colonization of group B streptococcus-An epidemiological study in a Chinese population, Aust. N.Z. Obstet. Gynaecol. 26:138–141 (1986).

    Article  CAS  Google Scholar 

  121. Loda, F. A., Collier, A. M., Glezen, W. P., Strangert, K., Clyde, W. A., and Denny, F. W., Occurrence of Diplococcus pneumoniae in the upper respiratory tract of children, J. Pediatr. 87:1087–1093 (1975).

    Article  PubMed  CAS  Google Scholar 

  122. Loesche, W. J., Role of Streptococcus mutans in human dental decay, Microbiol. Rev. 50:353–380 (1986).

    PubMed  CAS  Google Scholar 

  123. Lue, C., Tarkowski, A., and Mestecky, J., Systemic immunization with pneumococcal polysaccharide vaccine induces a predominant IgA2 response of peripheral blood leukocytes and increases of both serum and secretory antipneumococcal antibodies, J. Immunol. 140:3793–3800 (1988).

    PubMed  CAS  Google Scholar 

  124. Luginbuhl, L. M., Rotbart, H. A., Facklam, R. R., Roe, M. H., and Elliot, J. A., Neonatal enterococcal sepsis: Case-control study and description of an outbreak, Pediatr. Infect. Dis. J. 6:1022–1026 (1987).

    PubMed  CAS  Google Scholar 

  125. Macleod, C. M., Hodges, R. G., Heidelberger, M., and Bernhard, W. G., Prevention of pneumococcal pneumonia by immunization with specific capsular polysaccharides, J. Exp. Med. 82:445–465 (1945).

    Article  Google Scholar 

  126. Maddox, J. S., Ware, J. C., and Dillon, H. C., Jr., The natural history of streptococcal skin infection: Prevention with topical antibiotics, Am. J. Acad. Dermatol. 13:207–212 (1985).

    Article  CAS  Google Scholar 

  127. Majeed, H. A., Khuffash, F. A., Sharda, D. C., Farwana, S. S., El-Sherbiny, A., and Gharour, S. Y., Children with acute rheumatic fever and acute poststreptococcal glomerulonephritis and their families in a subtropical zone: A three-zone prospective comparative epidemiological study, Int. J. Epidemiol. 16:561–586 (1987).

    Article  PubMed  CAS  Google Scholar 

  128. Maki, D. G., and Agger, W. A., Enterococcal bacteremia: Clinical features, the risk of endocarditis, and management, Medicine 67:248–269 (1988).

    Article  CAS  Google Scholar 

  129. Manji, F., Fejerskov, O., and Baelum, V., Pattern of dental caries in an adult rural population, Caries Res. 23:55–62 (1989).

    Article  PubMed  CAS  Google Scholar 

  130. Markowitz, M., and Gerber, M. D., Rheumatic fever: Recent outbreaks of an old disease, Conn. Med. 51:229–233 (1987).

    PubMed  CAS  Google Scholar 

  131. Matter, L., Wilhelm, J. A., Angehrn, W., Skvaril, F., and Schopfer, K., Selective antibody deficiency and recurrent pneumococcal bacteremia in a patient with Sjogren’s syndrome, hyperimmunoglobulinemia G, and deficiencies of IgG2 and IgG4, N. Engl. J. Med. 312:1039–1042 (1985).

    Article  PubMed  CAS  Google Scholar 

  132. Mayon-White, R. T., The incidence of Gbs disease in neonates in different countries, Antibiot. Chemother. 35:17–27 (1985).

    PubMed  CAS  Google Scholar 

  133. Mcdaniel, L. S., Yother, J., Vijayakumar, M., Mcgarry, L., Guild, W. R., and Briles, D. E., Use of insertional inactivation to facilitate studies of biological properties of pneumococcal surface protein A (PspA), J. Exp. Med. 165:381–394 (1987).

    Article  PubMed  CAS  Google Scholar 

  134. Mcfall, T. L., Zimmerman, G. A., Augustine, N. H., and Hill, H. R., Effect of group B streptococcal type-specific antigen on polymorphonuclear leukocyte function and polymorphonuclear leukocyte-endothelial cell interaction, Pediatr. Res. 21:517–523 (1987).

    Article  PubMed  CAS  Google Scholar 

  135. Michalek, S. M., and Childers, N. K., Development and outlook for a caries vaccine, Crit. Rev. Oral Biol. Med. 1:37–54 (1990).

    PubMed  CAS  Google Scholar 

  136. Miller, L., Burdett, V., Poirier, T. P., Gray, L. D., Beachey, E. H., and Kehoe, M. A., Conservation of protective and nonprotective epitopes in M proteins of group A streptococci, Infect. Immun. 56:2198–2204 (1988).

    PubMed  CAS  Google Scholar 

  137. Milligan, T. W., Baker, C. J., Straus, D. C., and Mattingly, S. J., Association of elevated levels of extracellular neuraminidase with clinical isolates of type III group B streptococci, Infect. Immun. 21:738–746 (1978).

    PubMed  CAS  Google Scholar 

  138. Mufson, M. A., Oley, G., and Hughey, D., Pneumococcal disease in a medium-sized community in the United States, Am. Med. Assoc. 248:1486–1489 (1982).

    Article  CAS  Google Scholar 

  139. Musher, D. M., Chapman, A. J., Goree, A., Jonsson, S., Briles, D., and Baughn, R. E., Natural and vaccine-related immunity to Streptococcus pneumoniae, J. Infect. Dis. 154:245–256 (1986).

    Article  CAS  Google Scholar 

  140. Nelson, J. D., Dillon, H. C., Jr., and Howard, J. B., A prolonged nursery epidemic associated with a newly recognized type of group A streptococcus, J. Pediatr. 89:792–796 (1976).

    Article  PubMed  CAS  Google Scholar 

  141. O’Connor, S. P., and Cleary, P. P., In vivo Streptococcus pyogenes C5a peptidase activity: Analysis using transposonand nitrosoguanidine-induced mutants, J. Infect. Dis. 156:495–504 (1987).

    Article  PubMed  Google Scholar 

  142. Olson, T. A., Fischer, G. W., Hemming, V. G., O’Brian, W. F., Golden, S. M., and Maybee, D. A., A group B streptococcal extract reduces neutrophil counts and induces neutrophil aggregation, Pediatr. Res. 21:326–330 (1988).

    Article  Google Scholar 

  143. Olson, T. A., Fischer, G. W., Hemming, V. G., O’Brian, W. F., Golden, S. M., and Maybee, D. A., A group B streptococcal extract reduces neutrophil counts and induces neutrophil aggregation, Pediatr. Res. 21:326–330 (1988).

    Article  Google Scholar 

  144. Paradise, J. L., Bluestone, C. D., Bachman, R. Z., Colborn, D. K., Bernard, B. S., Taylor, F. H., Rogers, K. D., Schwarzbach, R. H., Stool, S. E., Friday, G. A., Smith, I. H., and Saez, C. A., Efficacy of tonsillectomy for recurrent throat infection in severely affected children, N. Engl. J. Med. 310:674–683 (1984).

    Article  PubMed  CAS  Google Scholar 

  145. Parker, M. T., Streptococcus and lactobacillus, in: Topley and Wilson’s Principles of Bacteriology, Virology and Immunity, Volume 2 (M. T. Parker, ed.), pp. 173–217, Williams & Wilkins, Baltimore, 1983.

    Google Scholar 

  146. Pass, M. A., Khare, S., and Dillon, H. C., Jr., Twin pregnancies: Incidence of group B streptococcal colonization and disease, J. Pediatr. 94:635–637 (1980).

    Google Scholar 

  147. Payne, N. R., Kim, Y., and Ferrieri, P., Effect of differences in antibody and complement requirements on phagocytic uptake and intracellular killing of “c” proteinpositive and negative strains of type Ii group B streptococci, Infect. Immun. 55:1243–1251 (1987).

    PubMed  CAS  Google Scholar 

  148. Payne, N. R., Burke, B. A., Day, D. L., Christenson, P. D., Thompson, T. R., and Ferrieri, P., Correlation of clinical and pathologic findings in early onset neonatal group B streptococcal infection with disease severity and prediction of outcome, Pediatr. Infect. Dis. J. 7:836–847 (1988).

    PubMed  CAS  Google Scholar 

  149. Perry, W. D., Siegel, A. C., and Rammelkamp, C. J., Jr., Transmission of group A streptococci. Ii. The role of contaminated dust, Am. J. Hyg. 66:96–101 (1957).

    PubMed  CAS  Google Scholar 

  150. Perry, W. D., Siegel, A. C., Rammelkamp, C. J., Jr., Wannamaker, L. W., and Marple, C. E., Transmission of group A streptococci. I. The role of contaminated bedding, Am. J. Hyg. 66:85–95 (1957).

    PubMed  CAS  Google Scholar 

  151. Philips, J. B., III, Lyrene, R. K., Godoy, G., Graybar, G., Barefield, E., Sams, J. E. P., and Gray, B. M., Hemodynamic responses of chronically instrumented piglets to bolus injections of group B streptococci, Pediatr. Res. 23:81–85 (1988).

    PubMed  Google Scholar 

  152. Pichichero, M. E., Disney, F. A., Talpey, W. B., Green, J. L., Francis, A. B., Roghmann, K., and Hoekelman, R. A., Adverse and beneficial effects of immediate treatment of group A beta-hemolytic streptococcal pharyngitis with penicillin, Pediatr. Infect. Dis. J. 6:635–643 (1987).

    Article  PubMed  CAS  Google Scholar 

  153. Pichichero, M. E,. Disney, F. A., Talpey, W. B., Green, J. L., Francis, A. B., Roghmann, K., and Hoekelman, R. A., Delayed treatment for strep throat (reply), Pediatr. Infect. Dis. J. 6:1140 (1987).

    Google Scholar 

  154. Poirier, T. P., Kehoe, M. A., and Beachey, E. H., Protective immunity evoked by oral administration of attenuated aroA Salmonella typhimurium expressing cloned streptococcal M protein, J. Exp. Med. 168:25–32 (1988).

    Article  PubMed  CAS  Google Scholar 

  155. Poirier, T. P., Kehoe, M. A., Whitnack, E., Dokter, M. E., and Beachey, E. H., Fibrinogen binding and resistance to phagocytosis of Streptococcus sanguis expressing cloned M protein of Streptococcus pyogenes, Infect. Immun. 57:29–35 (1989).

    CAS  Google Scholar 

  156. Potter, E. V., Lipschultz, S. A., Abidh, S., Poon-King, T., and Earle, D. P., Twelve to seventeen-year follow-up of patients with poststreptococcal acute glomerulonephritis in Trinidad, N. Engl. J. Med. 307:725–729 (1982).

    Article  PubMed  CAS  Google Scholar 

  157. Pritchard, D. G., Egan, M. E., Gray, B. M., and Dillon, H. C., Jr., Immunochemical characterization of the polysaccharide antigens of group B streptococci, Rev. Infect. Dis. 10(Suppl. 2):S367–S371 (1988).

    Google Scholar 

  158. Pyati, S. P., Pildes, R. S., Jacobs, N. M., Ramamurthy, R. S., Yeh, T. F., Raval, D. S., Lillien, L. D., Amma, P., and Metzger, W. I., Penicillin in infants weighing two kilograms or less with early-onset group B streptococcal disease, N. Engl. J. Med. 308:1383–1389 (1983).

    Article  PubMed  CAS  Google Scholar 

  159. Quinn, R. W., Streptococcal infections, in: Bacterial Infections of Humans (A. S. Evans and H. A. Feldman, eds.), pp. 525–552, Plenum Medical, New York, 1982.

    Chapter  Google Scholar 

  160. Raff, H. V., Siscoe, P. J., Wolff, E. A., Maloney, G., and Shuford, W., Human monoclonal antibodies to group B streptococcus, J. Exp. Med. 168:905–917 (1988).

    Article  PubMed  CAS  Google Scholar 

  161. Robbins, J. B., Austrian, R., Lee, C., Rastogi, S. C., Schiffman, G., Henrichsen, J., Makala, P. H., Broome, C. V., Facklam, R. R., Tiesjema, R. H., and Park, J. C., Jr., Considerations for formulating the second-generation pneumococcal capsular polysaccharide vaccine with Emphasis on the cross-reactive type within groups, J. Infect. Dis. 148:1136–1159 (1983).

    Article  PubMed  CAS  Google Scholar 

  162. Schleifer, K. H., and Kilpper-Balz, R., Transfer of Streptococcus faecalis and Streptococcus faecium to the genus Enterococcus nom. rev. as Enterococcus faecalis comb. nov. and Enterococcus faecium comb. nov., Int. J. Syst. Bacteriol. 34:31–34 (1984).

    Article  Google Scholar 

  163. Shann, F., Etiology of severe pneumonia in children in developing countries, Pediatr. Infect. Dis. J. 5:247–252 (1986).

    Article  CAS  Google Scholar 

  164. Shapiro, E. D., and Clemens, J. D., A controlled evaluation of the protective efficacy of pneumococcal vaccine for patients at high risk for serious pneumococcal infections, Ann. Intern. Med. 101:325–330 (1984).

    PubMed  CAS  Google Scholar 

  165. Smith, T. D., Wilkinson, V., and Kaplan, E. L., Group A Streptococcus-associated upper respiratory tract infections in a day-care center, Pediatrics 83:380–384 (1989).

    PubMed  CAS  Google Scholar 

  166. Spigelblatt, L., Saintonge, J., and Chicoine, R., Changing pattern of neonatal streptococcal septicemia, Pediatr. Infect. Dis. J. 4:56–58 (1985).

    Article  CAS  Google Scholar 

  167. Stein, D. S., and Nelson, K. E., Endocarditis due to nutritionally deficient streptococci, Rev. Infect. Dis. 9:908–916 (1987).

    Article  PubMed  CAS  Google Scholar 

  168. Stollerman, G. H., Changing group A streptococci: The reappearance of streptococcal “toxic shock,” Arch. Intern. Med. 148:1268–1270 (1988).

    Article  PubMed  CAS  Google Scholar 

  169. Stool, S. E., and Field, M. J., The impact of otitis media, Pediatr. Infect. Dis. J. 8(Suppl): S 11–514 (1989).

    Article  Google Scholar 

  170. Strobel, S., and Ferguson, A., Induction of oral tolerance, in mice, to gum arabic, Food Addit. Contam. 3:43–46 (1986).

    Article  PubMed  CAS  Google Scholar 

  171. Thomas, R. J., Conwell, D. E., Morton, D. E., Brooks, T. J., Holmes, C. K., and Mahaffey, W. B., Penicillin prophylaxis for streptococcal infections in United States Navy and Marine Corps recruit camps, 1951–1985, Rev. Infect. Dis. 10:125–130 (1988).

    Article  PubMed  CAS  Google Scholar 

  172. Tweten, R., Nucleotide sequence of the gene for perfingolysin O (theta-toxin) from Clostridium perfringens: Significant homology with genes for streptolysin O and pneumolysin, Infect. Immun. 56:3235–3240 (1988).

    PubMed  CAS  Google Scholar 

  173. Van Der Rijn, I., and Kessler, R. E., Growth characteristics of group A streptococci in a new chemically defined medium, Infect. Immun. 27:444–448 (1980).

    PubMed  Google Scholar 

  174. Veasy, L. G., Wiedmeier, S. E., Orsmond, G. S., Ruttenberg, H. D., Boucek, M. M., Roth, S. J., Tait, V. F., Thompson, J. A., Daly, J. A., Kaplan, E., and Hill, H. R., Resurgence of acute rheumatic fever in the intermountain area of the Untied States, N. Engl. J. Med. 316:421–427 (1987).

    Article  PubMed  CAS  Google Scholar 

  175. Vogt, A., Batsford, S., Rodriguez-Iturbe, B., and Garcia, R., Cationic antigens in poststreptococcal glomerulonephritis, Clin. Nephrol. 20:271–279 (1983).

    PubMed  CAS  Google Scholar 

  176. Wald, E. R., Bergman, I., Taylor, H. G., Chiponis, D., Porter, C., and Kubek, K., Long-term outcome of group B streptococcal meningitis, Pediatrics 77:217–221 (1986).

    PubMed  CAS  Google Scholar 

  177. Wald, E. R., Dashefsky, B., Feidt, C., Chiponis, D., and Byers, C., Acute rheumatic fever in western Pennsylvania and the tristate area, Pediatrics 80:371–374 (1987).

    CAS  Google Scholar 

  178. Waltman, W. D., Gray, B., Mcdaniel, L. S., and Briles, D. E., Cross-reactive monoclonal antibodies for diagnosis of pneumococcal meningitis, J. Clin. Microbiol. 26:1635–1640 (1988).

    PubMed  Google Scholar 

  179. Waltman, W. D. I., Mcdaniel, L. S., Andersson, B., Bland, L., Gray, B. M., Eden, C. S., and Briles, D. E., Protein serotyping of Streptococcus pneumoniae based on reactivity to six monoclonal antibodies, Microb. Pathogenesis 5:159–167 (1988).

    Article  Google Scholar 

  180. Wannamaker, L. W., Streptococcal toxins, Rev. Infect. Dis. 5(Suppl.): S723–S732 (1983).

    Article  CAS  Google Scholar 

  181. Weinstein, M. P., Reller, L., Murphy, J. R., and Lichtenstein, K. A., The clinical significance of positive blood cultures. A comprehensive analysis of 500 episodes of bacteremia and fungemia in adults-I. Laboratory and epidemiologic observations, Rev.. Infect. Dis. 5:35–53 (1983).

    Article  PubMed  CAS  Google Scholar 

  182. Wessels, M. R., Pozsgay, V., Kasper, D. L., and Jennings, H. J., Structure and immunochemistry of an oligosaccharide repeating unit of the capsular polysaccharide of type III group B Streptococcus, J. Biol. Chem. 262:8262–8267 (1987).

    CAS  Google Scholar 

  183. Who Study Group, Rheumatic fever and rheumatic heart disease, Who Tech. Rep. Ser. 764:1–58 (1988).

    Google Scholar 

  184. Willett, L. D., Dillon, H. C., Jr., and Gray, B. M., Penicillin-intermediate pneumococci in a children’s hospital, Am. J. Dis. Child. 139:1054–1057 (1985).

    PubMed  CAS  Google Scholar 

  185. WooD, E. G., and Dillon, H. C., Jr., A prospective study of group B streptococcal bacteriuria in pregnancy, Am. J. Obstet. Gynecol. 140:515–520 (1981).

    PubMed  Google Scholar 

  186. Yarnall, M., and Boyle, M. D. P., Isolation and characterization of type IIa and type IIb Fc receptors from group A streptococcus, Scand. J. Immunol. 24:549–557 (1986).

    Article  PubMed  CAS  Google Scholar 

  187. Yeung, M. K., and Mattingly, S. J., Biosynthetic capacity for type-specific antigen synthesis determines the virulence of serotype III strains of group B streptococci, Infect. Immun. 44:217–221 (1984).

    PubMed  CAS  Google Scholar 

  188. Yoshimoto, M., Hosoi, S., Fujisawa, S., Sudo, M., and Okuda, R., High levels of antibodies to streptococcal cell membrane antigens specifically bound to monoclonal antibodies in acute poststreptococcal glomerulonephritis, J. Clin. Microbiol. 25:680–684 (1987).

    PubMed  CAS  Google Scholar 

  189. Zawaneh, S. M., Ayoub, E. M., Baer, H., Cruz, A. C., and Spellacy, W. N., Factors influencing the adherence of group B streptococci to human vagina epithelial cells, Infect. Immun. 26:441–447 (1979).

    PubMed  CAS  Google Scholar 

12. Suggested Reading

  • Christensen, K. K., Christensen, P., and Ferrieri, P. (eds.), Neonatal Group B Streptococcal Infections, Antibiot. Chemother. 35:1–347 (1985).

    Google Scholar 

  • Dunning, J. M., Principles of Dental Public Health, Harvard University Press, Cambridge, Mass., 1986.

    Google Scholar 

  • Heffron, R., Pneumonia with Special Reference to Pneumococcus Lobar Pneumonia, Commonwealth Fund, New York, 1939; reprinted by Harvard University Press, Cambridge, Mass., 1979.

    Google Scholar 

  • Kimura, Y., Kotami, S., and Shiokawa, Y. (eds.), Recent Advances in Streptococci and Streptococcal Diseases, Reedbooks, Brackness, Birkshire, U.K., 1985.

    Google Scholar 

  • Maki, D. G., and Agger, W. A., Enterococcal bacteremia: Clinical features, the risk of endocarditis, and management, Medicine 67:248–269 (1988).

    Article  PubMed  CAS  Google Scholar 

  • Markowitz, M., and Gordis, L. Rheumatic Fever, 2nd ed., Saunders, Philadelphia, 1972.

    Google Scholar 

  • Third International Conference on Rheumatic Fever and Rheumatic Heart Disease, Rotorua 16–18 April 1987, N.Z. Med. J. 101:387–411 (1987).

    Google Scholar 

  • Wannamaker, L. W., and Matsen, J. M. (eds.), Streptococci and Streptococcal Diseases, Academic Press, New York, 1972.

    Google Scholar 

  • White, B. (with the collaboration of Robinson, E. S., and Barnes, L. A.), The Biology of the Pneumococcus: The Bacteriological, Biochemical and Immunological Characters and Activities of Diplococcus pneumoniae, Commonwealth Fund, New York, 1938; reprinted by Harvard University Press, Cambridge, Mass., 1979.

    Google Scholar 

  • Who Study Group, Rheumatic fever and rheumatic heart disease, Who Tech. Rep. Ser. 764:1–58 (1988).

    Google Scholar 

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Gray, B.M. (1991). Streptococcal Infections. In: Evans, A.S., Brachman, P.S. (eds) Bacterial Infections of Humans. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-1211-7_31

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