J Korean Med Sci.  1996 Apr;11(2):133-136. 10.3346/jkms.1996.11.2.133.

Comparison of M-serotypes of Streptococcus pyogenes isolated from healthy elementary school children in two rural areas

Affiliations
  • 1Department of Clinical Pathology, Gyeonsang National University School of Medicine, Chinju, South Korea.

Abstract

Serotypings have been used as markers for epidemiological surveys of Streptococcus pyogenes infections. Seventy-seven strains of S. pyogenes isolated from the throats of elementary school children in Kangwon Province in Korea in March and April 1992 were serotyped with M and/or opacity factor (OF) antisera. Sixty-eight strains of S. pyogenes from healthy school children in Chungnam Province in March 1993 were also serotyped and the distribution of serotype was compared with the isolates from those living in Kangwon Province. The distributions of M types were quite different between the two areas. M-78 (46.8%) and M-28 (22.1%) were most frequently encountered in Kangwon Province, while M-5 (20.6%), M-12 (16.2%), M-3 (13.2%), M-1 (11.8%) and M-62 (11.8%) were frequently isolated in Chungnam Province. Eighty-seven percent of strains in Kangwon produced OF while 33.2% of those in Chungnam produced OF (p< 0.0001). The difference in the distribution of serotypes and of OF production in the isolates from the children in the two provinces may be responsible for differences in the epidemiology of group A streptococcal infections and their sequelae.

Keyword

Streptococcus pyogenes; M types; OF production

MeSH Terms

Child
Comparative Study
Human
Korea/epidemiology
Residence Characteristics
Rural Population
Serotyping
Streptococcal Infections/epidemiology/*microbiology
Streptococcus pyogenes/*classification/pathogenicity
Virulence
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