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Volume 9, Number 8—August 2003


Invasive Group A Streptococcal Disease: Risk Factors for Adults

Stephanie H. Factor*†Comments to Author , Orin S. Levine‡, Benjamin Schwartz*, Lee H. Harrison§, Monica M. Farley¶, Allison McGeer#, and Anne Schuchat*
Author affiliations: *Centers for Disease Control and Prevention, Atlanta, Georgia, USA; †New York Academy of Medicine, New York, New York, USA; ‡National Institute for Allergy and Infectious Diseases, Bethesda, Maryland, USA; §Johns Hopkins University, Baltimore, Maryland, USA; ¶Emory University, Atlanta, Georgia; #Mount Sinai Hospital, Toronto, Ontario, Canada

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Table 2

Clinical syndromes of patients with invasive group A streptococcal disease, Atlanta, Baltimore, Toronto, 1997–1999

Clinical syndromesa Patients
N=139 (%)
Primary bacteremia (without focus) 57 (41)
Cellulitis 36 (26)
Septic arthritis 11 (8)
Necrotizing fasciitis 9 (6)
Pneumonia 8 (6)
Streptococcal toxic shock syndrome 6 (4)
Otitis 4 (3)
Peritonitis 3 (2)
Osteomyelitis 2 (2)
Endometritis 2 (2)
Abscess 2 (2)
Puerperal sepsis 2 (2)
Meningitis 1 (1)
Endocarditis 1 (1)
Urologic syndrome 1 (1)
Other syndrome 18 (13)

aPatients may appear in more than one category.

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