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Arcanobacterium haemolyticum and streptococcal pharyngitis in army conscripts

P Carlson1, S Kontianinen, O V Renkonen

  • 1Department of Medical Microbiology, Aurora Hospital, Helsinki, Finland.

Scandinavian Journal of Infectious Diseases
|January 1, 1995
PubMed
Summary

Arcanobacterium haemolyticum and beta-haemolytic streptococci are significant causes of sore throats in army conscripts, often presenting with exudate and lymphadenopathy. These bacteria were more prevalent in symptomatic individuals than in healthy controls.

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Area of Science:

  • Microbiology
  • Infectious Diseases
  • Public Health

Background:

  • Sore throat is a common ailment, particularly in young adults.
  • Bacterial infections, including streptococcal pharyngitis, are frequent causes of sore throat.
  • The role of Arcanobacterium haemolyticum in pharyngitis requires further elucidation.

Purpose of the Study:

  • To determine the prevalence of Arcanobacterium haemolyticum and beta-haemolytic streptococci in army conscripts with sore throat.
  • To compare clinical features between culture-positive and culture-negative patients.
  • To assess the pharyngeal colonization rates of these bacteria in healthy conscripts.

Main Methods:

  • Throat cultures were performed on 498 army conscripts presenting with sore throat.

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  • Cultures were also taken from 232 healthy conscripts for colonization rate assessment.
  • Clinical data, including symptoms and physical examination findings, were collected and analyzed.
  • Main Results:

    • Arcanobacterium haemolyticum was identified in 1.4% and beta-haemolytic streptococci in 23% of symptomatic conscripts.
    • Of the beta-haemolytic streptococci, 38% were group A.
    • Culture-positive patients exhibited significantly higher rates of pharyngeal exudate, cervical lymphadenopathy, and ear ache, but less cough, compared to culture-negative patients.
    • Pharyngeal colonization rates in healthy conscripts were 0.4% for A. haemolyticum and 6.5% for beta-haemolytic streptococci.

    Conclusions:

    • Arcanobacterium haemolyticum and beta-haemolytic streptococci are important pathogens in army conscripts with sore throat.
    • Clinical presentation, including exudate and lymphadenopathy, can help differentiate bacterial pharyngitis.
    • Lower colonization rates in healthy individuals suggest these bacteria are more associated with active infection in this population.