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Published on: August 19, 2016
[Molecular characterization of Streptococcus pyogenes from invasive disease and streptococcal toxic shock syndrome
1Hospital Ramón Santamarina, Tandil, Argentina. fernandotraverso@yahoo.com.ar
Abstract:
Streptococcus pyogenes causes a variety of common human diseases, including pharyngitis, scarlet fever and impetigo. Nevertheless, the past decades have witnessed a worldwide resurgence in invasive disease and streptococcal toxic shock syndrome (STSS). The objective of the present study is to evaluate the genetic diversity, virulence gene distribution (spe, sme and ssa genes) and susceptibility pattern of 10 S. pyogenes isolates causing invasive disease and STSS. The isolates were recovered from blood cultures of hospitalized patients at Hospital Santamarina and Nueva Clínica Chacabuco, Tandil, Buenos Aires, Argentina between 12/2000-04/2005. Two pulse field gel electrophoretic patterns predominated. The most frequent one included 5 characteristic isolates of emm1-T1 type, toxin gene profile speA, speB, speF, speG and smeZ. The second pattern included 2 characteristic isolates of emm3-TNT type (speB, speF, speG). The other 3 isolates corresponded to types emm49-TNT (speB, speC, speF, speG), emm75-T25 (speB, speF, speG) and emm83-TNT (speB, speF, speG, ssa, smeZ). All isolates were susceptible to penicillin, cefotaxime, erythromycin, clindamycin, chloramphenicol, tetracycline and rifampicin. The data from the present study demonstrated genetic diversity among the strains. Types emm1 and emm3 were prevalent in invasive disease. The empirical treatment with the combination of penicillin and clindamicin is still valid.
Insights
Streptococcus pyogenes strains causing invasive disease and streptococcal toxic shock syndrome (STSS) show genetic diversity. emm1 and emm3 types were prevalent, and all isolates remained susceptible to common antibiotics, validating penicillin and clindamycin treatment.
Area of Science:
- Microbiology
- Genetics
- Epidemiology
Context:
- Streptococcus pyogenes is a common pathogen causing pharyngitis, scarlet fever, and impetigo.
- Recent decades show a global increase in invasive Streptococcus pyogenes infections and streptococcal toxic shock syndrome (STSS).
Purpose:
- To analyze the genetic diversity of Streptococcus pyogenes isolates.
- To determine the distribution of virulence genes (spe, sme, ssa) in these isolates.
- To evaluate the antibiotic susceptibility patterns of S. pyogenes causing invasive disease and STSS.
Summary:
- Ten S. pyogenes isolates from blood cultures of hospitalized patients in Argentina (2000-2005) were studied.
- Two main pulse field gel electrophoresis patterns were observed, with emm1-T1 and emm3-TNT types predominating.
- Specific virulence gene profiles (spe, sme, ssa) were associated with different emm types.
- All isolates were susceptible to penicillin, cefotaxime, erythromycin, clindamycin, chloramphenicol, tetracycline, and rifampicin.
Impact:
- The study reveals genetic diversity among invasive S. pyogenes strains, with emm1 and emm3 types being most common.
- Antibiotic susceptibility data confirm that penicillin and clindamycin remain effective for empirical treatment.
- Findings contribute to understanding the epidemiology and guiding treatment strategies for invasive S. pyogenes infections.
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