{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T10:09:45Z","timestamp":1770718185660,"version":"3.49.0"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[1997,8,1]],"date-time":"1997-08-01T00:00:00Z","timestamp":870393600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[1997,8]]},"abstract":"<jats:p>To clarify the relationship between the epidemics of severe \ninvasive group A streptococcal \ninfections (streptococcal Toxic Shock-Like Syndrome; TSLS) and common group\n A \nstreptococcal infections in Japan, we examined the T serotypes of \n<jats:italic>S. pyogenes<\/jats:italic> strains (group A \nstreptococci) isolated from clinical specimens of the streptococcal \ninfections (17999 cases) in \nthe period 1990\u20135, including the severe infections (TSLS) \n(29 cases) in the period 1992\u20135. \nCharacteristic points of the analyses were: (1) dominant serotypes \nof the infections in these \nperiods were T12, T4, T1, T28 and TB3264, which were consistently isolated;\n \n(2) isolates of T3 \nrapidly increased through 1990 to 1994 while T6 decreased in the \nperiod 1990\u20133; (3) when \nJapanese area was divided into three parts, T3 serotype tended to spread\n \nout from the north-eastern to the south-western area; (4) strains of T3\n \nand T1 serotypes were dominant in the \nTSLS. Dominant-serotype strains of streptococcal infections did not \nalways induce severe \ninfections and dominance of T3 serotype in the TSLS seemed to be \ncorrelated with the increase \nof T3 in streptococcal infections. These results may indicate that \ncertain clones of <jats:italic>S. pyogenes<\/jats:italic> are involved in the \npathogenesis of the TSLS.<\/jats:p>","DOI":"10.1017\/s0950268897007644","type":"journal-article","created":{"date-parts":[[2002,7,27]],"date-time":"2002-07-27T09:23:42Z","timestamp":1027761822000},"page":"41-48","source":"Crossref","is-referenced-by-count":17,"title":["Serotyping of <i>Streptococcus pyogenes<\/i> isolated from common\n \nand severe invasive infections in Japan, 1990\u20135: implication \nof the T3 serotype strain-expansion in TSLS"],"prefix":"10.1017","volume":"119","author":[{"given":"Y.","family":"INAGAKI","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"KONDA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"MURAYAMA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"YAMAI","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"MATSUSHIMA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y.","family":"GYOBU","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"TANAKA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"TAMARU","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"KATSUKAWA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"KATAYAMA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"TOMITA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y.","family":"FUCHI","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"HOASHI","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"WATANABE","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[1997,8,1]]},"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268897007644","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,9,2]],"date-time":"2019-09-02T12:19:33Z","timestamp":1567426773000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268897007644\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1997,8]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1997,8]]}},"alternative-id":["S0950268897007644"],"URL":"https:\/\/doi.org\/10.1017\/s0950268897007644","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[1997,8]]}}}