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Group A Beta Hemolytic Streptococci in Relation to Rheumatic Fever: Study of School Children in Miami, Fla.

Group A Beta Hemolytic Streptococci in Relation to Rheumatic Fever: Study of School Children in... Abstract Because of the etiological relationship attributed to group A beta hemolytic streptococci in rheumatic fever, the pattern of infection with these organisms is presented for greater Miami (Dade County), Fla., an area where rheumatic fever is uncommon. In school children 6 to 9 years of age 25% to 40% of those studied by monthly throat swabbings have group A organisms in their throats at least once each 8-month school year. Groups and types of streptococci isolated are the same as in the North. Approximately 50% of children with such organisms show definite antistreptolysin O rises. Children from whom group A beta hemolytic streptococci (typable or nontypable) are recovered have higher average antistreptolysin O titers and indices than do those children from whom no beta hemolytic streptococci, or only groups of streptococci other than group A, are isolated. The postulate that 3% of group A beta hemolytic streptococcal infections proceed to References 1. Saslaw, M. S.; Ross, B. D., and Dobrin, M.: The Incidence of Rheumatic Heart Disease in Native School Children of Dade County, Florida , Am. Heart J. 40:760, 1950.Crossref 2. Paul, J. R., and Dixon, G. L.: Climate and Rheumatic Heart Disease: Survey Among American Indian School Children in Northern and Southern Localities , J. A. M. A. 108:2096, 1937.Crossref 3. Quinn, R. W., and Kincaid, C. K.: Rheumatic (Valvular) Heart Disease in Madison, Wisconsin: Survey of Seventh Grade School Children , Am. J. M. Sc. 223:487, 1952.Crossref 4. Wedum, B. G.; Wedum, A. G., and Beaghler, A. L.: Prevalence of Rheumatic Heart Disease in Denver School Children , Am. J. Pub. Health 35:1271, 1945.Crossref 5. Sampson, J. J.; Hahman, P. T.; Halverson, W. L., and Shearer, M. C.: Incidence of Heart Disease and Rheumatic Fever in School Children in Three Climatically Different California Communities , Am. Heart J. 29:178, 1945.Crossref 6. Paul, J. R.: Tabulated by Wedum and co-workers (Reference 4). 7. Quinn, R. W.: Incidence of Rheumatic Fever and Heart Disease in School Children in Dublin, Georgia, with Some Epidemiological and Sociological Observations , Am. Heart J. 32:234, 1946.Crossref 8. Packard, J. M.; Graettinger, J. S., and Graybiel, A.: Incidence of Heart Disease in School Children of Pensacola , Florida, U. S. Naval Air Station, Pensacola, Florida, Project No. NM 001 057. 02.01, (Oct. 25) , 1951. 9. Rammelkamp, C. H.; Wannamaker, L. W., and Denny, F. W.: The Epidemiology and Prevention of Rheumatic Fever , Bull. New York Acad. Med. 28:321, 1952. 10. Saslaw, M. S., and Streitfeld, M. M.: Group A Beta Hemolytic Streptococci and Rheumatic Fever in Miami, Fla. , Pub. Health Rep. 69:877, 1954.Crossref 11. Kleinman, H.: Epidemic Acute Glomerulonephritis at Red Lake , Minnesota Med . 37:479, 1954. 12. Updyke, E. L.; Moore, M. S., and Conroy, E.: Provisional New Type of Group A Streptococci Associated with Nephritis , Science 121:171, 1955.Crossref 13. Reinstein, C. R.: Epidemic Nephritis at Red Lake, Minnesota , J. Pediat. 47:25, 1955.Crossref 14. Saslaw, M. S.; Streitfeld, M. M., and Williams, E. H., Jr.: Use of an Antistreptolysin O Index for Comparison of Large Samples: Experience in Miami, Florida , Clin. Res. Proc. 3:77, 1955. 15. Bernheimer, A. W.: Streptolysins and Their Inhibitors , in Streptococcal Infections , edited by M. McCarty, New York, Columbia University Press, 1954, pp. 20-21. 16. Coburn, A. F., and Pauli, R. H.: The Interaction of Host and Bacterium in the Development of Communicability by Streptococcus Hemolyticus , J. Exper. Med. 73: 531, 1941.Crossref 17. Trewartha, G. T.: An Introduction to Climate , New York, McGraw-Hill Book Company, Inc., 1954, Plate I. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Journal of Diseases of Children American Medical Association

Group A Beta Hemolytic Streptococci in Relation to Rheumatic Fever: Study of School Children in Miami, Fla.

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Publisher
American Medical Association
Copyright
Copyright © 1956 American Medical Association. All Rights Reserved.
ISSN
0096-6916
DOI
10.1001/archpedi.1956.02060030544002
Publisher site
See Article on Publisher Site

Abstract

Abstract Because of the etiological relationship attributed to group A beta hemolytic streptococci in rheumatic fever, the pattern of infection with these organisms is presented for greater Miami (Dade County), Fla., an area where rheumatic fever is uncommon. In school children 6 to 9 years of age 25% to 40% of those studied by monthly throat swabbings have group A organisms in their throats at least once each 8-month school year. Groups and types of streptococci isolated are the same as in the North. Approximately 50% of children with such organisms show definite antistreptolysin O rises. Children from whom group A beta hemolytic streptococci (typable or nontypable) are recovered have higher average antistreptolysin O titers and indices than do those children from whom no beta hemolytic streptococci, or only groups of streptococci other than group A, are isolated. The postulate that 3% of group A beta hemolytic streptococcal infections proceed to References 1. Saslaw, M. S.; Ross, B. D., and Dobrin, M.: The Incidence of Rheumatic Heart Disease in Native School Children of Dade County, Florida , Am. Heart J. 40:760, 1950.Crossref 2. Paul, J. R., and Dixon, G. L.: Climate and Rheumatic Heart Disease: Survey Among American Indian School Children in Northern and Southern Localities , J. A. M. A. 108:2096, 1937.Crossref 3. Quinn, R. W., and Kincaid, C. K.: Rheumatic (Valvular) Heart Disease in Madison, Wisconsin: Survey of Seventh Grade School Children , Am. J. M. Sc. 223:487, 1952.Crossref 4. Wedum, B. G.; Wedum, A. G., and Beaghler, A. L.: Prevalence of Rheumatic Heart Disease in Denver School Children , Am. J. Pub. Health 35:1271, 1945.Crossref 5. Sampson, J. J.; Hahman, P. T.; Halverson, W. L., and Shearer, M. C.: Incidence of Heart Disease and Rheumatic Fever in School Children in Three Climatically Different California Communities , Am. Heart J. 29:178, 1945.Crossref 6. Paul, J. R.: Tabulated by Wedum and co-workers (Reference 4). 7. Quinn, R. W.: Incidence of Rheumatic Fever and Heart Disease in School Children in Dublin, Georgia, with Some Epidemiological and Sociological Observations , Am. Heart J. 32:234, 1946.Crossref 8. Packard, J. M.; Graettinger, J. S., and Graybiel, A.: Incidence of Heart Disease in School Children of Pensacola , Florida, U. S. Naval Air Station, Pensacola, Florida, Project No. NM 001 057. 02.01, (Oct. 25) , 1951. 9. Rammelkamp, C. H.; Wannamaker, L. W., and Denny, F. W.: The Epidemiology and Prevention of Rheumatic Fever , Bull. New York Acad. Med. 28:321, 1952. 10. Saslaw, M. S., and Streitfeld, M. M.: Group A Beta Hemolytic Streptococci and Rheumatic Fever in Miami, Fla. , Pub. Health Rep. 69:877, 1954.Crossref 11. Kleinman, H.: Epidemic Acute Glomerulonephritis at Red Lake , Minnesota Med . 37:479, 1954. 12. Updyke, E. L.; Moore, M. S., and Conroy, E.: Provisional New Type of Group A Streptococci Associated with Nephritis , Science 121:171, 1955.Crossref 13. Reinstein, C. R.: Epidemic Nephritis at Red Lake, Minnesota , J. Pediat. 47:25, 1955.Crossref 14. Saslaw, M. S.; Streitfeld, M. M., and Williams, E. H., Jr.: Use of an Antistreptolysin O Index for Comparison of Large Samples: Experience in Miami, Florida , Clin. Res. Proc. 3:77, 1955. 15. Bernheimer, A. W.: Streptolysins and Their Inhibitors , in Streptococcal Infections , edited by M. McCarty, New York, Columbia University Press, 1954, pp. 20-21. 16. Coburn, A. F., and Pauli, R. H.: The Interaction of Host and Bacterium in the Development of Communicability by Streptococcus Hemolyticus , J. Exper. Med. 73: 531, 1941.Crossref 17. Trewartha, G. T.: An Introduction to Climate , New York, McGraw-Hill Book Company, Inc., 1954, Plate I.

Journal

A.M.A. Journal of Diseases of ChildrenAmerican Medical Association

Published: Dec 1, 1956

References