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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
"high priority"
symptom
acute rheumatic fever
typhoid
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