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Disease manifestations and pathogenic mechanisms of group a Streptococcus.
[acute rheumatic fever]
Streptococcus
pyogenes
,
also
known
as
group
A
Streptococcus
(
GAS
)
,
causes
mild
human
infections
such
as
pharyngitis
and
impetigo
and
serious
infections
such
as
necrotizing
fasciitis
and
streptococcal
toxic
shock
syndrome
.
Furthermore
,
repeated
GAS
infections
may
trigger
autoimmune
diseases
,
including
acute
poststreptococcal
glomerulonephritis
,
acute
rheumatic
fever
,
and
rheumatic
heart
disease
.
Combined
,
these
diseases
account
for
over
half
a
million
deaths
per
year
globally
.
Genomic
and
molecular
analyses
have
now
characterized
a
large
number
of
GAS
virulence
determinants
,
many
of
which
exhibit
overlap
and
redundancy
in
the
processes
of
adhesion
and
colonization
,
innate
immune
resistance
,
and
the
capacity
to
facilitate
tissue
barrier
degradation
and
spread
within
the
human
host
.
This
improved
understanding
of
the
contribution
of
individual
virulence
determinants
to
the
disease
process
has
led
to
the
formulation
of
models
of
GAS
disease
progression
,
which
may
lead
to
better
treatment
and
intervention
strategies
.
While
GAS
remains
sensitive
to
all
penicillins
and
cephalosporins
,
rising
resistance
to
other
antibiotics
used
in
disease
treatment
is
an
increasing
worldwide
concern
.
Several
GAS
vaccine
formulations
that
elicit
protective
immunity
in
animal
models
have
shown
promise
in
nonhuman
primate
and
early
-
stage
human
trials
.
The
development
of
a
safe
and
efficacious
commercial
human
vaccine
for
the
prophylaxis
of
GAS
disease
remains
a
high
priority
.
Diseases
Validation
Diseases presenting
"large number"
symptom
acute rheumatic fever
adrenal incidentaloma
allergic bronchopulmonary aspergillosis
canavan disease
coats disease
cowden syndrome
dedifferentiated liposarcoma
dracunculiasis
epidermolysis bullosa simplex
fabry disease
familial mediterranean fever
gm1 gangliosidosis
heparin-induced thrombocytopenia
hereditary cerebral hemorrhage with amyloidosis
hirschsprung disease
kindler syndrome
legionellosis
malignant atrophic papulosis
neuralgic amyotrophy
phenylketonuria
pleomorphic liposarcoma
primary effusion lymphoma
scrub typhus
severe combined immunodeficiency
triple a syndrome
waldenström macroglobulinemia
well-differentiated liposarcoma
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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