Temporal Changes in Streptococcal M Protein Types and the Near-Disappearance of Acute Rheumatic Fever in the United States
Author(s) -
Stanford T. Shulman,
Gene H. Stollerman,
Bernard Beall,
James B. Dale,
Robert R. Tanz
Publication year - 2006
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 - 10.1086/499812
Subject(s) - medicine , acute rheumatic fever , rheumatic fever , incidence (geometry) , streptococcal infections , immunology , pediatrics , physics , optics
The explanation for the very substantial decrease in the incidence of acute rheumatic fever in the United States, particularly over the past 50 years, is unclear. It has been proposed that certain M types of group A streptococci (GAS) include strains that are particularly rheumatogenic and that others are nonrheumatogenic.
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