Molecular Epidemiologic Comparison of 2 Unusual Clusters of Group A Streptococcal Necrotizing Fasciitis in Hawaii | Zendy

Güliz Erdem | Zendy; J. Ford | Zendy; Rebecca Kanenaka | Zendy; Lucienne Abe | Zendy; Karen Yamaga | Zendy; Paul V. Effler | Zendy

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Molecular Epidemiologic Comparison of 2 Unusual Clusters of Group A Streptococcal Necrotizing Fasciitis in Hawaii

Author(s) -

Güliz Erdem,

J. Ford,

Rebecca Kanenaka,

Lucienne Abe,

Karen Yamaga,

Paul V. Effler

Publication year - 2005

Publication title -

clinical infectious diseases

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.44

H-Index - 336

eISSN - 1537-6591

pISSN - 1058-4838

DOI - 10.1086/430378

Subject(s) - fasciitis , streptococcus , streptococcus pyogenes , medicine , group a , microbiology and biotechnology , molecular epidemiology , streptococcaceae , biology , gene , bacteria , surgery , genotype , staphylococcus aureus , genetics , antibiotics

Two clusters of necrotizing fasciitis (NF) due to group A streptococcus (GAS) were identified on the Hawaiian islands of Kauai and Maui during 1997 and 2002, respectively. The emm gene sequence types and the pulsed-field gel electrophoresis patterns were determined for 6 isolates recovered from patients with NF and for 116 isolates recovered from patients with temporally associated community-acquired GAS infection. No predominant emm type was identified, and the emm types of 64 (52.5%) of the isolates were considered to be uncommon in the continental United States. These findings suggest that unusual emm types might be responsible for invasive GAS infections in patients from Hawaii.

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