Strep a

Scarlet fever and rheumatic fever complicating strep throat largely disappeared after World War II due to the increasing availability of penicillin. Nonetheless ...

[1989 paperopens in a new tab or window](https://www.nejm.org/doi/10.1056/NEJM198907063210101) published in the New England Journal of Medicine. You can read more of her writing in the " "But if a provider already knows that strains circulating in their community are resistant to clindamycin, that could justify using a newer agent like linezolid, tedizolid, or omadacycline, all of which also suppress toxin production." In addition, the latter infections most frequently stem from a cutaneous site such as a burn, laceration, penetrating injury, surgical incision, or even an insect bite. [4,622 cases of scarlet feveropens in a new tab or window](https://www.gov.uk/government/publications/group-a-streptococcal-infections-activity-during-the-2022-to-2023-season/group-a-streptococcal-infections-report-on-seasonal-activity-in-england-2022-to-2023#:~:text=A%20total%20of%204%2C622%20notifications,in%20the%20previous%205%20years.) that occurred in Great Britain between September 2022 and January 15, 2023, did any of them present as streptococcal sepsis or a "flesh-eating" attack on tissue accompanied by streptococcal toxic shock syndrome? Point number two: serologic M-typing and genetic sequencing can pinpoint a new strain, but only if the bug is cultured. The need to assess antibiotic sensitivity is another reason why Stevens strongly favors culturing patients who are likely GAS-infected in any site in their body. In this series, 20 patients with a median age of 36 from Montana, Utah, Idaho, and Nevada presented with various forms of severe GAS infection, especially necrotizing fasciitis and myositis. Army, and, eventually, as a professor of medicine at the University of Washington and chief of infectious diseases at the V.A. A day later the patient had worsening pain and nausea. Although they remain sensitive to penicillin, it is worrying that the current Asian strains are 100% resistant to erythromycin and clindamycin. Scarlet fever and rheumatic fever complicating strep throat largely disappeared after World War II due to the increasing availability of penicillin.