Description of the Pathogenic Features of <i>Streptococcus pyogenes</i> Isolates from Invasive and Non-Invasive Diseases in Aichi, Japan

  • Matsumoto Masakado
    Department of Microbiology and Medical Zoology, Aichi Prefectural Institute of Public Health
  • Yamada Kazuhiro
    Department of Microbiology and Medical Zoology, Aichi Prefectural Institute of Public Health
  • Suzuki Masahiro
    Department of Microbiology and Medical Zoology, Aichi Prefectural Institute of Public Health
  • Adachi Hirokazu
    Department of Microbiology and Medical Zoology, Aichi Prefectural Institute of Public Health
  • Kobayashi Shinichi
    Department of Microbiology and Medical Zoology, Aichi Prefectural Institute of Public Health
  • Yamashita Teruo
    Department of Microbiology and Medical Zoology, Aichi Prefectural Institute of Public Health
  • Minagawa Hiroko
    Department of Microbiology and Medical Zoology, Aichi Prefectural Institute of Public Health
  • Tatsuno Ichiro
    Department of Bacteriology, Nagoya City University Graduate School of Medical Sciences
  • Hasegawa Tadao
    Department of Bacteriology, Nagoya City University Graduate School of Medical Sciences

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Other Title
  • Description of the Pathogenic Features of Streptococcus pyogenes Isolates from Invasive and Non-Invasive Diseases in Aichi, Japan

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Abstract

We identified hypervirulent Streptococcus pyogenes in 27 and 420 isolates from patients with invasive and non-invasive diseases, respectively, in Aichi Prefecture, Japan, between 2003 and 2012, in an attempt to understand why the prevalence of streptococcal toxic shock syndrome (STSS) suddenly increased in this location during 2011. Hypervirulent strains belong to the emm1 genotype, with a mutation in the covR/S genes that regulate many other genes, encoding virulence determinants and resulting in the absence of the proteinase streptococcal exotoxin B and the production of virulence factors such as the superantigen streptococcal exotoxin A, the nuclease streptococcal DNase, the cytotoxin NAD-glycohydrolase, and the hemolysin streptolysin O. We found 1 strain from invasive disease and 1 from non-invasive disease with traits similar to those of hypervirulent strains, except that the sda1 gene was absent. We also found 1 non-emm1 strain with phenotypic and genetic traits identical to those of the emm1 hypervirulent strains except that it did not belong to emm1 genotype, from non-invasive diseases cases in 2011. These findings suggested that hypervirulent and hypervirulent-like strains from invasive and non-invasive disease cases could have at least partially contributed to the sudden increase in the number of patients with STSS in Aichi during 2011.

Journal

  • Japanese Journal of Infectious Diseases

    Japanese Journal of Infectious Diseases 69 (4), 338-341, 2016

    National Institute of Infectious Diseases, Japanese Journal of Infectious Diseases Editorial Committee

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