作者: Yu-Chia Hsieh , Yhu-Chering Huang
DOI: 10.1016/J.JMII.2011.07.003
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摘要: An outbreak of scarlet fever hit Hong Kong in 2011. At least 600 cases have been reported till the end June 2011, with two resulting deaths. The first fatal case, a 7-year-old girl, presented fever, sore throat, vomiting, and skin rash on May 20. She consulted private doctor but her condition did not improve. was referred admitted to Queen Mary’s Hospital 27. Her further deteriorated complicated toxic shock syndrome. passed away 29. second 5-year-old boy, from 15. He Princess Margaret 19 for sudden deterioration condition. boy developed syndrome 21. had general practitioner chickenpox earlier. Further laboratory investigation showed that isolates Streptococcus pyogenes both belonged different strains. Emm12 emm1 were identified S isolates. University scientists said they discovered mutation main isolates, making it more contagious deadly. new strain resistant erythromycin clindamycin, resistance rate increasing 10e30% previously 60%, by picking up one or genes bacteria normally found human oral urogenital tracts. Because Taiwan are very close, geographical location people, is quite common people living travel Kong, thus,