Medscape CME Activity
Medscape, LLC is pleased to provide online continuing medical education (CME) for selected journal articles, allowing clinicians the opportunity to earn CME credit. In support of improving patient care, these activities have been planned and implemented by Medscape, LLC and Emerging Infectious Diseases. Medscape, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
CME credit is available for one year after publication.
Volume 32—2026
Volume 32, Number 1—January 2026
Group A Streptococcus (GAS) causes a variety of diseases in humans but is not widely appreciated as a cause of meningitis. During 1997–2022, ten sites participating in the Active Bacterial Core Surveillance network in the United States identified GAS meningitis cases. We calculated annual incidence and case-fatality rates (CFRs) for 320 of those cases and determined antimicrobial resistance by whole-genome sequencing. Annual incidence of GAS meningitis ranged from 0.02 to 0.07 cases/100,000 persons. Children <1 year of age had the highest average annual incidence, 0.23 cases/100,000 children. GAS meningitis had a higher CFR (19.4%) than meningitis caused by group B Streptococcus, Streptococcus pneumoniae, Neisseria meningitidis, or Haemophilus influenzae. Clindamycin resistance among GAS meningitis isolates increased from 3.2% during 1997–2002 to 17.7% during 2018–2022. Clinicians should be aware that meningitis is an uncommon but severe manifestation of invasive GAS and has a higher CFR than more established meningitis etiologies.
| EID | Hawkins PA, Chochua S, Prasad N, Okaro JO, Li Y, Martin T, et al. Group A Streptococcus Meningitis, United States, 1997–2022. Emerg Infect Dis. 2026;32(1):29-39. https://doi.org/10.3201/eid3201.250871 |
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| AMA | Hawkins PA, Chochua S, Prasad N, et al. Group A Streptococcus Meningitis, United States, 1997–2022. Emerging Infectious Diseases. 2026;32(1):29-39. doi:10.3201/eid3201.250871. |
| APA | Hawkins, P. A., Chochua, S., Prasad, N., Okaro, J. O., Li, Y., Martin, T....Gregory, C. J. (2026). Group A Streptococcus Meningitis, United States, 1997–2022. Emerging Infectious Diseases, 32(1), 29-39. https://doi.org/10.3201/eid3201.250871. |
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