Scarlet fever notifications surged across the United Kingdom in spring 2014. Molecular epidemiologic investigation of Streptococcus pyogenes infections in North-West London highlighted increased emm4 andemm3 infections coincident with the upsurge. Unlike outbreaks in other countries, antimicrobial resistance was uncommon, highlighting an urgent need to better understand the drivers of scarlet fever activity.
Ahead of Print -Scarlet Fever Upsurge in England—Molecular-Genetic Analysis in North-West London, 2014 - Volume 22, Number 6—June 2016 - Emerging Infectious Disease journal - CDC
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