Journal Article

Familial Transmission of a Serious Disease—Producing Group A Streptococcus Clone: Case Reports and Review

M.-A. Gamba, M. Martinelli, H. J. Schaad, R. A. Streuli, J. DiPersio, L. Matter, H.-B. Ris, F. Marchal, E. L. Kaplan, D. L. Stevens and R. Malinverni

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 24, issue 6, pages 1118-1121
Published in print June 1997 | ISSN: 1058-4838
Published online June 1997 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/513636
Familial Transmission of a Serious Disease—Producing Group A Streptococcus Clone: Case Reports and Review

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Invasive group A streptococcus (GAS) infections are emerging diseases; however, person-to-person transmission of invasive GAS producing life-threatening infection has been observed rarely. We report a small intrafamilial cluster of life-threatening GAS infections. A previously healthy 47-year-old father developed necrotizing fasciitis of the neck. Two days later, his 16-year-old daughter developed streptococcal angina, pneumonia, and pleural empyema. Both patients had signs of streptococcal toxic shock syndrome. Pulsed field gel electrophoresis revealed that the M6 strains of GAS isolated from the father and daughter had identical patterns. Cases of person-to-person transmission of invasive GAS infection reported in the literature are also reviewed.

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Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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