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Group A β-hemolytic streptococcal hemorrhagic colitis complicated with pharyngitis and impetigo

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Journal of Infection and Chemotherapy

Abstract

A 6-year-old boy with bloody diarrhea was diagnosed with group A β-hemolytic streptococcal hemorrhagic colitis. Complications included pharyngitis and impetigo, both caused by the same organisms. In addition to being isolated from stools, Streptococcus pyogenes was also isolated from skin lesions. Furthermore, a rapid group A streptococcal antigen test by throat swab was also positive. Hemorrhagic colitis caused by group A β-hemolytic streptococcus is extremely rare, and much rarer are its complications with pharyngitis and impetigo. Compared with findings in reports of group A β-hemolytic streptococcal proctitis and perianal and perineal diseases, this case suggests a distinct pathogenesis for hemorrhagic colitis.

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Authors and Affiliations

  1. Department of Pediatrics, Yokohama City Minato Red Cross Hospital, 3-12-1 Shinyamashita, Naka-ku, Yokohama, 231-8682, Japan

    Atsushi Isozaki, Keiko Matsubara, Takako Yui, Kenji Kobayashi & Yutaka Kawano

Authors
  1. Atsushi Isozaki
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  2. Keiko Matsubara
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  3. Takako Yui
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  4. Kenji Kobayashi
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  5. Yutaka Kawano
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Correspondence to Atsushi Isozaki.

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Isozaki, A., Matsubara, K., Yui, T. et al. Group A β-hemolytic streptococcal hemorrhagic colitis complicated with pharyngitis and impetigo. J Infect Chemother 13, 411–413 (2007). https://doi.org/10.1007/s10156-007-0550-7

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  • DOI: https://doi.org/10.1007/s10156-007-0550-7

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