       Document 0178
 DOCN  M9610178
 TI    [Bacteremia caused by group A and B beta-hemolytic Streptococcus in
       adults]
 DT    9601
 AU    Ramos JM; Fernandez-Roblas R; Nunez A; Fernandez-Guerrero ML; Soriano F;
       Departamento de Microbiologia Medica, Fundacion Jimenez; Diaz, Madrid.
 SO    Rev Clin Esp. 1995 Aug;195(8):541-5. Unique Identifier : AIDSLINE
       MED/96007124
 AB    In order to know the epidemiological, clinical and evolutive
       characteristics of bacteriemia caused by beta-hemolytic streptococci
       groups A and B, a retrospective investigation was undertaken of 48
       bacteremic episodes observed in adult patients for 10 years (1985-1994).
       Twenty-two episodes were caused by Group A beta-hemolytic streptococci
       (GAS) and 26 by Group B beta-hemolytic streptococci (GBS). Patients with
       GAS bacteremia (GASB) had a lower mean age than patients with GBS
       bacteremia (GBSB) (p = 0.03). Infection with immunodeficiency virus was
       more common in patients with GASB than in patients with GBSBA (27 and
       4%, respectively; p = 0.04); in contrast, diabetes mellitus was more
       common in patients with GBSB than in patients with GASB (27 and 5%,
       respectively) (p = 0.04). Nine (41%) patients with GBSB were i.v. drug
       abusers; nevertheless, none of the subjects with GBSB were i.v. drug
       abusers (p < 0.001). The proportion of bacteremia without demonstrable
       source due to GBS (41%) was significantly higher than that due to GAS
       (9%) (p = 0.02). Five (23%) patients with GASB and other five (20%)
       patients with GBSB had fatal outcomes, but only in two (9%) and three
       (12%) cases, respectively, was death directly attributed to bacteremia.
       In conclusion, bacteremias caused by GAS and GBS have different
       epidemiological characteristics but similar prognosis.
 DE    Adult  *Bacteremia/EPIDEMIOLOGY/MICROBIOLOGY  English Abstract  Female
       Human  Male  Middle Age  *Streptococcal
       Infections/EPIDEMIOLOGY/MICROBIOLOGY  *Streptococcus agalactiae
       *Streptococcus pyogenes  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

