{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:17:54Z","timestamp":1779927474478,"version":"3.53.1"},"reference-count":7,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T00:00:00Z","timestamp":1747094400000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003478","name":"MHLW","doi-asserted-by":"publisher","award":["JPMH22HA1007"],"award-info":[{"award-number":["JPMH22HA1007"]}],"id":[{"id":"10.13039\/501100003478","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Balvi Filantropic Fund"},{"name":"Barry Satz and Ronald Satz Memorial Fund"},{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["JP24KF0177"],"award-info":[{"award-number":["JP24KF0177"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100016204","name":"Ministry of Higher Education, Science, Research and Innovation, Thailand","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100016204","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100017748","name":"Centre of Excellence in Mathematics","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100017748","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Center of Excellence in Medical Biotechnology"},{"DOI":"10.13039\/100012863","name":"Thailand Center of Excellence in Physics","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012863","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Rothwell Family"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Japan recently experienced a record surge in streptococcal toxic shock syndrome. Our environmental surveillance study reveals that Streptococcus pyogenes persists seasonally, peaking in autumn and winter in rural Japan. The dominant emm1 M1UK sublineage and csrS mutations heighten virulence, highlighting the urgent need for targeted surveillance and interventions.<\/jats:p>","DOI":"10.1093\/infdis\/jiaf234","type":"journal-article","created":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T13:01:23Z","timestamp":1747141283000},"source":"Crossref","is-referenced-by-count":3,"title":["<i>Streptococcus pyogenes<\/i> Surveillance Through Surface Swab Samples to Track the Emergence of Streptococcal Toxic Shock Syndrome in Rural Japan"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6316-1221","authenticated-orcid":false,"given":"Dhammika Leshan","family":"Wannigama","sequence":"first","affiliation":[{"name":"Department of Infectious Diseases, Faculty of Medicine, Yamagata University and Yamagata University Hospital , Yamagata ,","place":["Japan"]},{"name":"Department of Infectious Diseases and Infection Control, Yamagata Prefectural Central Hospital , Yamagata ,","place":["Japan"]},{"name":"Pathogen Hunter\u2019s Research Collaborative Team, Department of Infectious Diseases and Infection Control, Yamagata Prefectural Central Hospital , Yamagata ,","place":["Japan"]},{"name":"Yamagata Prefectural University of Health Sciences Graduate School, , Yamagata ,","place":["Japan"]},{"name":"Biofilms and Antimicrobial Resistance Consortium of Official Development Assistance (ODA) Receiving Countries, The University of Sheffield , Sheffield ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3509-3433","authenticated-orcid":false,"given":"Mohan","family":"Amarasiri","sequence":"additional","affiliation":[{"name":"Department of Civil and Environmental Engineering, Graduate School of Engineering, Tohoku University , Sendai, Miyagi 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