Abstract
In the spring of 1994, a cluster of seven cases of invasive group A streptococcal (GAS) infections, including four cases of necrotising fasciitis (NF) occurred in Gloucestershire, England1. Routine surveillance data collected by the PHLS Communicable Disease Surveillance Centre (CDSC) on invasive GAS infections showed that about 550 cases were reported each year in 1991, 1992 and 1993 and there not been any increase in the spring of 19942. Data on the clinical features of cases reported to CDSC were sparse and unreliable. In the first 13 weeks of 1994, CDSC received 154 reports of isolations of GAS from blood, none of which mentioned NF, although they were known to include cases of NF. CDSC could not, therefore, provide reliable data on the number of cases of NF associated with invasive GAS infections in England and Wales.
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References
CDSC. Invasive group A streptococcal infections in Gloucestershire. Commun Dis Rep CDR Wkly 1994; 4: 97.
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Efstratiou A, George RC, Gaworzewska ET, Hallas G, Tanna A, Blake WA, Monnickendam MA, McEvoy MB. Group A streptococcal disease in England and Wales. In Horaud T, Sicard M, Bouvet A, De Montclos H, editors. Streptococci and the host. Proceedings of the XIIIth Lancefield symposium on streptococci and streptococcal diseases. Plenum Press, 1997: 207-210.
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Monnickendam, M.A. et al. (1997). Necrotising Fasciitis Associated with Invasive Group A Streptococcal Infections in England and Wales. In: Horaud, T., Bouvet, A., Leclercq, R., de Montclos, H., Sicard, M. (eds) Streptococci and the Host. Advances in Experimental Medicine and Biology, vol 418. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-1825-3_22
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DOI: https://doi.org/10.1007/978-1-4899-1825-3_22
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