American Journal of Epidemiology Vol. 93, No. 2: 102-110
Copyright © 1971 by The Johns Hopkins University School of Hygiene and Public Health
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A NEWLY PREVALENT TYPE OF BETA HEMOLYTIC STREPTOCOCCUS IN CHICAGO1
2Department of Medicine, Northwestern University 303 East Chicago Ave, Chicago, Illinois 60611. Reprint requests to Dr. Potter
3Deceased December 8, 1968. Dr. Siegel waa in the Department of Pediatrics, Northwestern University
4Rheumatic Fever Prevention Program, Chicago Board of Health
Potter, E. V. (Dept. Medicine, Northwestern Univ., Chicago, III. 60611), A. C. Siegel and J. L Bearfleld. A newly prevalent type of beta hemolytic streptococcus in Chicago. Amer J Epidem 93: 102110, 1971.An outbreak of streptococcal infections with 7 cases suspected of having acute rheumatic fever occurred in an elementary school in Chicago during March, 1969. This outbreak led to the recognition of M 29-T 28 strains as prevalent in Chicago, comprising 58% of the typable strains in the south side school and 8% of the typable strains in a north side hospital. M 6-T 6 strains also were prevalent in Chicago, comprising 29% of the strains in the school and 8% in the hospital. Two cases of acute rheumatic fever in the hospital were associated with M 29-T 28 infections as well as 2 recurrences in children attending the hospital's Rheumatic Fever Clinic, and 2 additional cases had M 6-T 6 infections. The M 29-T 28 strains, therefore, have a rheumatogenic potential at least equal to that of the better known type 6 strains.
beta hemolytic streptococci; disease outbreak; rheumatic fever; streptococcal infections
1From the Departments of Medicine and Pediatrics, Northwestern University-McGaw Medical Center, Children's Memorial Hospital, and Chicago Board of Health. This study was supported by grants from the United States Public Health Service (HE 7057 and HE 04164), from the Otho S.A. Sprague Foundation, and from the American Heart Association.