Relapsing Group B Streptococcal Infection
Authors: Lee H. Harrison
Journal: Annals of Internal Medicine (1996)

Letters15 August 1996Relapsing Group B Streptococcal InfectionLee H. Harrison, MD, Diane M. Dwyer, MD, and Judith A. Johnson, PhDLee H. Harrison, MDJohns Hopkins University School of Hygiene and Public Health, Baltimore, MD 21205Maryland Department of Health and Mental Hygiene, Baltimore, MD 21201Veterans Affairs Medical Center, Baltimore, MD 21201Search for more papers by this author, Diane M. Dwyer, MDJohns Hopkins University School of Hygiene and Public Health, Baltimore, MD 21205Maryland Department of Health and Mental Hygiene, Baltimore, MD 21201Veterans Affairs Medical Center, Baltimore, MD 21201Search for more papers by this author, and Judith A. Johnson, PhDJohns Hopkins University School of Hygiene and Public Health, Baltimore, MD 21205Maryland Department of Health and Mental Hygiene, Baltimore, MD 21201Veterans Affairs Medical Center, Baltimore, MD 21201Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-125-4-199608150-00034 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:The case described by Awayda and colleagues raises several relevant issues about recurrent adult group B streptococcal infection. The short intervals between their patient's episodes and the serotyping data suggest relapsing infection [1]. However, given the high proportion of adult group B streptococcal infection caused by serotype V [2], molecular subtyping is needed to determine whether the subsequent episodes were due to relapse or to infection with different strains. In one of our patients with recurrent group B streptococcal infection caused by serotype V organisms, restriction endonuclease analysis of chromosomal DNA indicated that the patient had infection with ...References1. Harrison LH, Ali A, Dwyer DM, Libonati JP, Reeves MW, Elliott JA, et al. Relapsing invasive group B streptococcal infection in adults. Ann Intern Med. 1995; 123:421-7. Google Scholar2. Harrison LH, Dwyer DM, Johnson JA. Emergence of serotype V group B streptococcal infection among infants and adults [Letter]. J Infect Dis. 1995; 171:513. Google Scholar3. Edwards MS, Baker CJ. Streptococcus agalactiae (group B Streptococcus). In: Mandell GL, Bennett JE, Dolin R, eds. 4th edition. Principles and Practice of Infectious Diseases. New York: Churchill Livingstone; 1995:1835-45. Google Scholar4. Lederman HM, Winkelstein JA. X-linked agammaglobulinemia: an analysis of 96 patients. Medicine (Baltimore). 1985; 64:145-56. Google Scholar5. Jackson LA, Hildson R, Farley MM, Harrison LH, Reingold AL, Plikaytis BD, et al. Risk factors for B streptococcal disease in adults. Ann Intern Med. 1995; 123:415-20. Google Scholar Author, Article, and Disclosure InformationAuthors: Lee H. Harrison, MD; Diane M. Dwyer, MD; Judith A. Johnson, PhDAffiliations: Johns Hopkins University School of Hygiene and Public Health, Baltimore, MD 21205Maryland Department of Health and Mental Hygiene, Baltimore, MD 21201Veterans Affairs Medical Center, Baltimore, MD 21201 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 15 August 1996Volume 125, Issue 4Page: 350KeywordsAntibioticsDiabetes mellitusEndocarditisHumoral immunityImmunodeficienciesInfectious diseasesIntravenous immunoglobulinMedical conditionsOsteomyelitisStreptococcal infections ePublished: 15 August 2000 Issue Published: 15 August 1996 Copyright & PermissionsCopyright © 1996 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...