ON May 27, 1994, the Communicable Disease Surveillance Center in England reported that six persons in Gloucestershire had disease characteristic of invasive group A streptococcal infection (GAS) with necrotizing fasciitis. Three patients died. Patients ranged in age from 46 to 68 years. Group A streptococcal isolates from blood or joint fluid from five patients were typed by the Public Health Laboratory Service Streptococcus Reference Laboratory. Four different types were identified (M1, M3, M5, and M-nontypable).
Since 1992, the total number of laboratory reports of systemic GAS in England and Wales has remained stable; during the first 16 weeks of 1994, a total of 200 blood isolates were reported, compared with 212 and 200 during the first 16 weeks of 1993 and 1992, respectively. Adapted from: Communicable Disease Report 1994;4(21).
Reported by: Div of Bacterial and Mycotic Diseases, National Center for Infectious Diseases, CDC.
Editorial Note: The report from the United
Invasive Group A Streptococcal Infections— United Kingdom, 1994. Arch Dermatol. 1995;131(1):18. doi:10.1001/archderm.1995.01690130020002