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Intra-familial transmission of life-threatening group A streptococcal infection

Published online by Cambridge University Press:  09 October 2002

R. A. RECCO
Affiliation:
Division of Infectious Diseases, Department of Medicine, Coney Island Hospital and State University of New York Health Science Center at Brooklyn, Brooklyn, New York, USA
M. M. ZAMAN
Affiliation:
Division of Infectious Diseases, Department of Medicine, Coney Island Hospital and State University of New York Health Science Center at Brooklyn, Brooklyn, New York, USA
H. CORTES
Affiliation:
Department of Medicine, Methodist Hospital, Brooklyn, New York, USA
J. COLUCCI
Affiliation:
Department of Medicine, Methodist Hospital, Brooklyn, New York, USA
G. POOMKUDY
Affiliation:
Department of Medicine, Methodist Hospital, Brooklyn, New York, USA
E. L. KAPLAN
Affiliation:
World Health Organization Collaborating Center for Reference and Research on Streptococci, Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN, USA
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Abstract

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Invasive group A streptococcal (GAS) infections have been of increasing concern worldwide during the past 15 years. Spread of group A streptococci to contacts with resulting invasive infection has been reported in families, in residential nursing homes, and even from patients to health care workers. We report an instance of temporally related life-threatening group A streptococcal infection in a husband and 2 weeks later in his wife. This example further emphasizes the need for careful observation among family members and other close contacts of patients with invasive group A streptococcal infection. Although at present there are no universal recommendations for monitoring or for antibiotic prophylaxis of close contacts of persons with invasive GAS infection, when added to existing literature, this report suggests additional consideration is required.

Type
Research Article
Copyright
© 2002 Cambridge University Press