Haemophilus influenzae and Streptococcus pyogenes Group A Challenge Induce a Th1 Type of Cytokine Response in Cells Obtained from Tonsillar Hypertrophy and Recurrent Tonsillitis

ORL ◽  
1998 ◽  
Vol 60 (1) ◽  
pp. 35-41 ◽  
Author(s):  
Karin Ågren ◽  
Annelie Brauner ◽  
Jan Andersson
2010 ◽  
Vol 18 (2) ◽  
pp. 217-222 ◽  
Author(s):  
Kyriaki Liadaki ◽  
Efthimia Petinaki ◽  
Charalampos Skoulakis ◽  
Paraskeui Tsirevelou ◽  
Dimitra Klapsa ◽  
...  

ABSTRACTTonsillar disease (recurrent tonsillitis and/or tonsillar hypertrophy) is one of the most common human disorders, withStreptococcus pyogenes(group A beta-hemolytic streptococcus [GAS]) andHaemophilus influenzaerepresenting the most common pathogens. Until now, no study has investigated why some individuals are more susceptible to tonsillar infections caused by specific bacteria than others. The aim of this study was to uncover possible associations between common Toll-like receptor gene (TLR) polymorphisms and tonsillar disease. TheTLR2-R753Q,TLR4-D299G, andTLR4-T399I polymorphisms were determined in a cohort of 327 patients subjected to tonsillectomy due to recurrent tonsillitis (n= 245) and tonsillar hypertrophy (n= 82) and 245 healthy bone marrow donors. Associations of the aforementioned polymorphisms with the isolated bacterial strains after tonsillectomy were also investigated. Interestingly, carriers of theTLR4polymorphisms displayed an approximately 3-fold increased risk for GAS infections (forTLR4-D299G, odds ratio [OR] = 2.81, 95% confidence interval [CI] = 1.16 to 6.79,P= 0.038; forTLR4-T399I, OR = 3.01, 95% CI = 1.29 to 7.02,P= 0.023), and this association was more profound in patients with recurrent tonsillitis. On the contrary, the presence of theTLR4-T399I polymorphism was associated with a 2-fold decreased risk ofHaemophilus influenzaecarriage (OR = 0.38, 95% CI = 0.15 to 0.96,P= 0.038). In the end, no significant differences were observed, considering the genotype and allele frequencies of the above-mentioned polymorphisms, between patients and controls. Our findings indicate that, regarding tonsillar infections,TLR4polymorphisms predispose individuals to GAS infection, while they are protective againstHaemophilus influenzaeinfection. This result further elucidates the role that host immune genetic variations might play in the susceptibility to common infections and tonsillar disease.


2021 ◽  
Author(s):  
Hiroyuki Iuchi ◽  
Junichiro Ohori ◽  
Satoshi Kiyama

Abstract Background: Recurrent tonsillitis is one of the most common otolaryngological disorders caused by bacteria invading cells such as Streptococcus pyogenes (S. pyogenes) and Haemophilus influenzae. The aim of this study was to investigate the effect of antibacterial drugs against bacteria that have invaded cells.Results: The intracellular invasion of Detroit 562 cells by five strains of nontypeable Haemophilus influenzae (NTHi) and four strains of Streptococcus pyogenes was investigated. The antibacterial drugs used were garenoxacin (GRNX), clarithromycin (CAM), amoxicillin (AMPC), cefditoren pivoxil (CDTR-PI), and levofloxacin (LVFX). Both NTHi and S. pyogenes fully invaded Detroit 562 cells in 6 h. Both NTHi and S. pyogenes had reduced susceptibility to CAM. GRNX, CAM, and LVFX were effective against bacteria invading the cells, but AMPC and CDTR-PI were not effective. GRNX was the most effective.Conclusion: GRNX was the most effective agent against bacteria invading cells.


2008 ◽  
Vol 40 (11-12) ◽  
pp. 899-903 ◽  
Author(s):  
Ch. Skoulakis ◽  
E. Tigiroglou ◽  
K. Gkarelis ◽  
D. Klapsa ◽  
A. Damani ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hiroyuki Iuchi ◽  
Junichiro Ohori ◽  
Satoshi Kiyama ◽  
Naoko Imuta ◽  
Junichiro Nishi ◽  
...  

Abstract Background Recurrent tonsillitis is one of the most common otolaryngological disorders caused by cell-invading bacteria, such as Streptococcus pyogenes (S. pyogenes) and Haemophilus influenzae. The aim of this study was to investigate the effect of antibacterial agents against cell-invading bacteria. Methods The intracellular invasion of Detroit 562 cells by five strains of nontypeable Haemophilus influenzae (NTHi) and four strains of S. pyogenes was investigated. The antibacterial agents used were garenoxacin (GRNX), clarithromycin (CAM), amoxicillin (AMPC), cefditoren pivoxil (CDTR-PI), and levofloxacin (LVFX). Results Both NTHi and S. pyogenes fully invaded Detroit 562 cells in 6 h and were less sensitive to CAM. GRNX, CAM, and LVFX were effective against bacteria invading the cells, but AMPC and CDTR-PI were not effective. GRNX was the most effective. Conclusion GRNX was the most effective agent against bacteria invading cells.


2018 ◽  
Vol 3 (3) ◽  

Tonsillitis is a frequently encountered pathology in the outpatient setting, usually caused by viruses [1]. When bacterial, the most common causatory microbe is streptococcus group A [1]. Tonsillar and peritonsillar abscess (PTA) on the other hand are never viral, and are usually caused by streptococcus pyogenes, Streptococcus melleri, fusobacterium necrophorum and staphylococci [1,2]. The overall incidence of PTA is suggested to be 37/100,000 patients, with the highest incidence between ages 14-21 at 124/100,000 [3].


2020 ◽  
pp. 64-70
Author(s):  
Anastasiya Laknitskaya

Currently, one of the priority medical and social problems is the optimization of treatment methods for pyoderma associated with Streptococcus pyogenes — group A streptococcus (GAS). To date, the proportion of pyoderma, the etiological factor of which is Streptococcus pyogenes, is about 6 % of all skin diseases and is in the range from 17.9 to 43.9 % of all dermatoses. Role of the bacterial factor in the development of streptococcal pyoderma is obvious. Traditional treatment complex includes antibacterial drugs selected individually, taking into account the antibiotic sensitivity of pathognomonic bacteria, and it is not always effective. Currently implemented immunocorrection methods often do not take into account specific immunological features of the disease, the individual, and the fact that the skin performs the function of not only a mechanical barrier, but it is also an immunocompetent organ. Such an approach makes it necessary to conduct additional studies clarifying the role of factors of innate and adaptive immunity, intercellular mediators and antioxidant defense system, that allow to optimize the treatment of this pathology.


Author(s):  
Melanie T Rebechi ◽  
Emily L Heil ◽  
Paul M Luethy ◽  
Sarah A Schmalzle

Abstract Background Streptococcus pyogenes, or Group A Strep (GAS), is not considered a typical cause of infective endocarditis (IE), but has anecdotally been observed in unexpectedly high rates in people who inject drugs (PWID) at our institution. Methods All cases of possible or definite GAS IE per Modified Duke Criteria in adults at an academic hospital between 11/15/2015 and 11/15/2020 were identified. Medical records were reviewed for demographics, comorbidities, treatment, and outcomes related to GAS IE. Literature on cases of GAS IE was reviewed. Results 18 cases of probable (11) or definite (7) GAS IE were identified; mean age was 38 years, and the population was predominantly female (56%) and Caucasian (67%), which is inconsistent with local population demographics. Sixteen cases were in people who inject drugs (PWID) (89%), 14 were also homeless, six were also living with HIV (33%), and two were also pregnant. Antibiotic regimens were variable due to polymicrobial bacteremia (39%). One patient underwent surgical valve replacement. Four patients (22%) died due to complications of infection. Literature review revealed 42 adult cases of GAS IE, only 17 of which were in PWID (24%). Conclusions The 16 cases of possible and definite GAS IE in PWID over a five-year period in a single institution reported nearly doubles the number of cases in PWID from all previous reports. This suggests a potential increase in GAS IE particularly in PWID and PLWH, which warrants further epidemiologic investigation.


2005 ◽  
Vol 49 (7) ◽  
pp. 2990-2993 ◽  
Author(s):  
Maria Haller ◽  
Kirsten Fluegge ◽  
Sandra Jasminder Arri ◽  
Brit Adams ◽  
Reinhard Berner

ABSTRACT A total of 301 German pediatric group A streptococcus isolates were screened for the presence of macrolide resistance and the fibronectin binding protein F1 gene (prtF1) encoding an adhesin and cell invasiveness protein. The prtF1 gene was present significantly more often among macrolide-resistant isolates. The majority of these were not clonally related.


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