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Beta haemolytic group A streptococci causing urinary tract infection
T Palocaren1, E Mathai, K N Brahmadathan
1Department of Microbiology, Christian Medical College Hospital, Vellore, Tamilnadu, India.
British Journal of Urology
|October 1, 1994
Summary
Group A streptococci (GAS) bacteriuria is a rare condition typically seen in patients with underlying health issues. Prompt antimicrobial therapy leads to positive patient outcomes.
Area of Science:
- Infectious Diseases
- Urology
- Microbiology
Background:
- Group A streptococci (GAS) are a common cause of pharyngitis and skin infections.
- GAS bacteriuria, the presence of GAS in urine, is an uncommon clinical presentation.
- Understanding the clinical and laboratory features of GAS bacteriuria is important for diagnosis and management.
Purpose of the Study:
- To detail the clinical and laboratory findings in patients diagnosed with Group A streptococci bacteriuria.
- To characterize the patient population and associated symptoms of GAS bacteriuria.
Main Methods:
- Retrospective review of hospital records from a tertiary care hospital in southern India (1988-1993).
- Identification of patients with GAS isolated from urine cultures.
- Analysis of clinical presentations, predisposing factors, and treatment responses.
Main Results:
- GAS bacteriuria was identified in 26 patients (15 women, 11 men).
- Clinical presentations included asymptomatic bacteriuria (9), dysuria/frequency (12), and fever (3).
- All infections occurred in patients with pre-existing conditions predisposing to urinary tract infections.
Conclusions:
- Group A streptococci bacteriuria is a rare entity, predominantly observed in individuals with underlying predisposing conditions.
- Patients diagnosed with GAS bacteriuria demonstrated a favorable response to antimicrobial treatment.