TY - JOUR AU - Engelthaler, David AU - Valentine, Michael AU - Bowers, Jolene AU - Pistole, Jennifer AU - Driebe, Elizabeth AU - Terriquez, Joel AU - Nienstadt, Linus AU - Carroll, Mark AU - Schumacher, Mare AU - Ormsby, Mary Ellen AU - Brady, Shane AU - Livar, Eugene AU - Yazzie, Del AU - Waddell, Victor AU - Peoples, Marie AU - Komatsu, Kenneth AU - Keim, Paul T1 - Hypervirulent emm59 Clone in Invasive Group A Streptococcus Outbreak, Southwestern United States T2 - Emerging Infectious Disease journal PY - 2016 VL - 22 IS - 4 SP - 734 SN - 1080-6059 AB - The hyper-virulent emm59 genotype of invasive group A Streptococcus was identified in northern Arizona in 2015. Eighteen isolates belonging to a genomic cluster grouped most closely with recently identified isolates in New Mexico. The continued transmission of emm59 in the southwestern United States poses a public health concern. KW - group A Streptococcus KW - emm59 KW - genomic epidemiology KW - WGST KW - ADD MORE PRN KW - streptococci KW - pyogenes KW - bacteria KW - GAS KW - polytomy WGST KW - Native Americans KW - southwestern United States KW - Arizona KW - California KW - New Mexico KW - Minnesota KW - Oregon KW - Canada DO - 10.3201/eid2204.151582 UR - https://wwwnc.cdc.gov/eid/article/22/4/15-1582_article ER - End of Reference