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Published on: December 10, 2013
The Association between Invasive Group A Streptococcal Diseases and Viral Respiratory Tract Infections
Andrea L Herrera1, Victor C Huber1, Michael S Chaussee1
1Division of Basic Biomedical Sciences, The Sanford School of Medicine of the University of South Dakota Vermillion, SD, USA.
Abstract:
Viral infections of the upper respiratory tract are associated with a variety of invasive diseases caused by Streptococcus pyogenes, the group A streptococcus, including pneumonia, necrotizing fasciitis, toxic shock syndrome, and bacteremia. While these polymicrobial infections, or superinfections, are complex, progress has been made in understanding the molecular basis of disease. Areas of investigation have included the characterization of virus-induced changes in innate immunity, differences in bacterial adherence and internalization following viral infection, and the efficacy of vaccines in mitigating the morbidity and mortality of superinfections. Here, we briefly summarize viral-S. pyogenes superinfections with an emphasis on those affiliated with influenza viruses.
Insights
Viral infections can worsen Streptococcus pyogenes (group A strep) invasive diseases. Research explores how viruses impact immunity and bacterial interactions, focusing on influenza virus superinfections.
Area of Science:
- Microbiology
- Immunology
- Infectious Diseases
Background:
- Upper respiratory tract viral infections can precede invasive diseases caused by Streptococcus pyogenes (group A Streptococcus).
- These superinfections, involving multiple pathogens, present complex clinical challenges.
- Understanding the molecular mechanisms underlying these polymicrobial infections is crucial for developing effective treatments.
Purpose of the Study:
- To summarize current knowledge on viral-Streptococcus pyogenes superinfections.
- To highlight the role of influenza viruses in exacerbating group A strep invasive diseases.
- To review key areas of research, including innate immunity and bacterial pathogenesis.
Main Methods:
- Literature review of viral-S. pyogenes superinfections.
- Analysis of virus-induced changes in host innate immunity.
- Investigation of bacterial adherence and internalization post-viral infection.
- Evaluation of vaccine efficacy in mitigating superinfection outcomes.
Main Results:
- Viral infections alter host defenses, creating opportunities for S. pyogenes invasion.
- Specific viral pathogens, like influenza viruses, are frequently associated with severe superinfections.
- Research is elucidating the molecular interactions between viruses and S. pyogenes.
Conclusions:
- Viral infections significantly increase the risk and severity of invasive Streptococcus pyogenes diseases.
- Further research into host-pathogen interactions is essential for therapeutic and preventative strategies.
- Influenza virus-associated superinfections warrant particular attention due to their potential severity.
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