GROUP-A STREPTOCOCCAL BACTEREMIA IN A COMMUNITY TEACHING HOSPITAL - 1980-1989
adults; Infectious Diseases; Microbiology; Immunology; endocarditis; infections; group-b; episodes; acute rheumatic-fever; beta-hemolytic streptococci; erythromycin resistance; pyogenes bacteremia; shock-like syndrome
This report reviews 45 episodes of group A streptococcal bacteremia during 1980-1989 in a large hospital; 24 episodes occurred in the first 5 years of study (1980-1984) and 21 in the last 5 years (1985-1989). Four episodes were nosocomial. The remaining 41 episodes were community acquired, of these episodes, 12 occurred in patients who were transferred from nursing homes. There was a definite seasonal predominance (84%) during November-June. All but three patients had chronic underlying conditions. The major portals of entry were the skin and lungs, and the main types of infection were primary septicemia, cellulitis and soft-tissue infection, pneumonia, and infective endocarditis. The overall mortality rate was 24%; 20% of the deaths were due to infection. Factors that adversely influenced mortality were septic shock (P < .02), < 10,000/mm3 leukocytes (P < .05); < 80% segmented polymorphonuclear leukocytes and band forms (P < .02). and hyperbilirubinemia (P < .01). Neither prevalence nor severity of group A streptococcal bacteremia increased during the last 5 years of study.
Burkert T; Watanakunakorn C
Clinical Infectious Diseases
1992
1992-01
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1093/clinids/14.1.29" target="_blank" rel="noreferrer noopener">10.1093/clinids/14.1.29</a>
GROUP-A STREPTOCOCCUS ENDOCARDITIS - REPORT OF 5 CASES AND REVIEW OF LITERATURE
experience; Infectious Diseases; bacteremia; endocarditis; bacterial-endocarditis; echocardiography; city; heroin-addicts; infective; intravenous-drug-users; medical-center; staphylococcus-aureus endocarditis
Burkert T; Watanakunakorn C
Journal of Infection
1991
1991-11
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1016/0163-4453(91)93116-t" target="_blank" rel="noreferrer noopener">10.1016/0163-4453(91)93116-t</a>
GROUP-G STREPTOCOCCUS SEPTIC ARTHRITIS AND OSTEOMYELITIS - REPORT AND LITERATURE-REVIEW
therapy; Rheumatology; bacteremia; joint; infections; osteomyelitis; group-a; group-b; group-c; medical-center; bacterial arthritis; drug-abusers; group-g streptococcus; infection of joint prosthesis; infectious arthritis; septic arthritis
Beta hemolytic streptococcus group G is increasingly being recognized as a cause of serious infections. We describe a patient with group G streptococcus septic arthritis of the right knee and osteomyelitis of the proximal tibia. Clinical details of 46 patients including 13 patients with infected prosthetic joints reported in the literature were reviewed: 42% had multiple joint involvement. Almost all patients had underlying conditions. Almost one-half were treated with antibiotics alone without therapeutic drainage procedures. Patients with infected prosthetic joints did well without removal of infected prosthesis. There have been 11 cases of group G streptococcus osteomyelitis reported including 3 cases with concomitant septic arthritis.
Burkert T; Watanakunakorn C
Journal of Rheumatology
1991
1991-06
Journal Article or Conference Abstract Publication
n/a
INFECTIVE ENDOCARDITIS AT A LARGE COMMUNITY TEACHING HOSPITAL, 1980-1990 - A REVIEW OF 210 EPISODES
b; bacterial-endocarditis; cardiac-surgery; clinical-features; endocarditis; enterococcal endocarditis; General & Internal Medicine; hemophilus parainfluenzae; influenzae; prosthetic valve endocarditis; staphylococcus-aureus-endocarditis; streptococcal endocarditis; transesophageal echocardiography
Watanakunakorn C; Burkert T
Medicine
1993
1993-03
Journal Article
<a href="http://doi.org/10.1097/00005792-199303000-00003" target="_blank" rel="noreferrer noopener">10.1097/00005792-199303000-00003</a>
SPONDYLITIS DUE TO GROUP G-STREPTOCOCCUS - REPLY
osteomyelitis; Rheumatology
Watanakunakorn C; Burkert T
Journal of Rheumatology
1993
1993-04
Journal Article
n/a