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Streptococcal toxic shock syndrome caused by Streptococcus suis serotype 2.

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TLDR
Clinical and pathological characterization of the human patients revealed the hallmarks of typical STSS, which to date had only been associated with GAS infection, and multiple lines of evidence confirmed that highly virulent strains of SS2 were the causative agents of both outbreaks.
Abstract
Background Streptococcus suis serotype 2 (S. suis 2, SS2) is a major zoonotic pathogen that causes only sporadic cases of meningitis and sepsis in humans. Most if not all cases of Streptococcal toxic shock syndrome (STSS) that have been well-documented to date were associated with the nonSS2 group A streptococcus (GAS). However, a recent large-scale outbreak of SS2 in Sichuan Province, China, appeared to be caused by more invasive deep-tissue infection with STSS, characterized by acute high fever, vascular collapse, hypotension, shock, and multiple organ failure.

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Emergence of Fatal PRRSV Variants: Unparalleled Outbreaks of Atypical PRRS in China and Molecular Dissection of the Unique Hallmark

TL;DR: This is the first comprehensive report documenting the 2006 epidemic of atypical PRRS outbreak in China and identifying the 30 amino-acid deletion in NSP2, a novel determining factor for virulence which may be implicated in the high pathogenicity of PRRSV, and will stimulate further study by using the infectious cDNA clone technique.
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Streptococcus suis, an important pig pathogen and emerging zoonotic agent-an update on the worldwide distribution based on serotyping and sequence typing.

TL;DR: This review presents the worldwide distribution of serotypes and sequence types (STs), as determined by multilocus sequence typing, for pigs and humans between 2002 and 2013 and if these differences can be associated with specific serotypes or STs.
Journal ArticleDOI

Streptococcus suis: an emerging zoonotic pathogen

TL;DR: This review provides background information on the biology and molecular characteristics of this Gram-positive bacterium, and describes the clinical signs, pathology, epidemiology, diagnosis, and treatment of human infection with S suis.
Journal ArticleDOI

Streptococcus suis: an emerging human pathogen.

TL;DR: An overview of the emergence and clinical manifestations of S. suis infection in humans has been provided, with most cases originating in Southeast Asia, where there is a high density of pigs.
Journal ArticleDOI

Streptococcus suis: a new emerging or an old neglected zoonotic pathogen?

TL;DR: The present knowledge on S. suis infection in humans is critically reviewed, the hypotheses that may explain the 2005 outbreak are discussed and the repercussion of such an episode on the scientific community is discussed.
References
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Journal ArticleDOI

MEGA3: Integrated software for Molecular Evolutionary Genetics Analysis and sequence alignment

TL;DR: An overview of the statistical methods, computational tools, and visual exploration modules for data input and the results obtainable in MEGA is provided.
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Pathogenesis of Group A Streptococcal Infections

TL;DR: Group A streptococci are model extracellular gram-positive pathogens responsible for pharyngitis, impetigo, rheumatic fever, and acute glomerulonephritis, and an emerging theme is the dichotomy between skin and throat strains in their epidemiology and genetic makeup.
Journal ArticleDOI

The staphylococcal enterotoxins and their relatives

TL;DR: Staphylococcal enterotoxins and a group of related proteins made by Streptococci cause food poisoning and shock in man and animals and it is likely that some or all of the pathological effects of these toxins are caused by their ability to activate quickly so many T cells.
Journal ArticleDOI

Toxic-shock syndrome associated with phage-group-I Staphylococci.

TL;DR: One patient died, one had gangrene of the toes, and all have had fine desquamation of affected skin and peeling of palms and soles during convalescence.
Journal ArticleDOI

Toxic Shock Syndrome and Bacterial Superantigens: An Update

TL;DR: It is proposed that there are five distinct groups of bacterial superantigens, which are believed to be responsible for the most severe features of toxic shock syndrome.
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