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Clinical presentations and epidemiology of β-haemolytic streptococcal bacteraemia: a population-based study
Authors:S. Rantala,J. Vuopio-Varkila,R. Vuento,H. Huhtala, J. Syrjä  nen
Affiliation: Department of Internal Medicine, Tampere University Hospital, Tampere;,  National Public Health Institute, Helsinki;,  Centre for Laboratory Medicine, Tampere University Hospital;,  Tampere School of Public Health, University of Tampere;,  Medical School, University of Tampere, Tampere, Finland
Abstract:In this population-based study, all 314 episodes of β-haemolytic streptococcal bacteraemia in adult patients in the Pirkanmaa area, Finland, during the 10-year period 1995–2004 were retrospectively reviewed. Altogether, 92 cases of bacteraemia caused by Lancefield group A β-haemolytic streptococci (GAS), 76 caused by group B β-haemolytic streptococci (GBS), 18 caused by group C β-haemolytic streptococci (GCS) and 128 caused by group G β-haemolytic streptococci (GGS) were identified. The most important finding was that the incidence of GGS increased during the study period. Disruption of the cutaneous barrier was a very common predisposing factor in GAS and GGS bacteraemias. Skin infections were the presenting clinical manifestations in two-thirds of GAS and GGS bacteraemias.
Keywords:Bacteraemia    β-haemolytic    clinical presentations    epidemiology    streptococci
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