Evidence map›Paper›PMID 27027618›Full record

Observational studyPloS one2016

Streptococcus pyogenes Pneumonia in Adults: Clinical Presentation and Molecular Characterization of Isolates 2006-2015.

Esther Tamayo, Milagrosa Montes, Diego Vicente, Emilio Pérez-Trallero

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 49 citations in OpenAlex.

  1. Trial
  2. Article
  3. Severe invasiveJournal of intensive medicine · 2025
    Article
  4. Article
  5. A fulminant case ofWorld journal of emergency medicine · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Comparing Genomic Characteristics ofAnnals of laboratory medicine · 2022
    Article
  12. Article
  13. Hemorrhagic pneumonia and upper lobe pulmonary cavitary lesion caused byJournal of community hospital internal medicine perspectives · 2021
    Article
  14. Article
  15. Sexual dimorphism in bacterial infections.Biology of sex differences · 2018
    Review
  16. Review
  17. Article
  18. Bacterial Pneumonia Caused byJournal of clinical medicine research · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Esther TamayoBiomedical Research Center Network for Respiratory Diseases (CIBERES), San Sebastián, Spain.
Milagrosa MontesBiomedical Research Center Network for Respiratory Diseases (CIBERES), San Sebastián, Spain.
Diego VicenteBiomedical Research Center Network for Respiratory Diseases (CIBERES), San Sebastián, Spain.
Emilio Pérez-TralleroBiomedical Research Center Network for Respiratory Diseases (CIBERES), San Sebastián, Spain.
Centre for Biomedical Network Research on Rare Diseases · ESBiogipuzkoa Health Research Institute · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn the preantibiotic era Streptococcus pyogenes was a common cause of severe pneumonia but currently, except for postinfluenza complications, it is not considered a common cause of community-acquired pneumonia in adults. AIM AND MATERIAL AND

methodsThis study aimed to identify current clinical episodes of S. pyogenes pneumonia, its relationship with influenza virus circulation and the genotypes of the involved isolates during a decade in a Southern European region (Gipuzkoa, northern Spain). Molecular analysis of isolates included emm, multilocus-sequence typing, and superantigen profile determination.

resultsForty episodes were detected (annual incidence 1.1 x 100,000 inhabitants, range 0.29-2.29). Thirty-seven episodes were community-acquired, 21 involved an invasive infection and 10 developed STSS. The associated mortality rate was 20%, with half of the patients dying within 24 hours after admission. Influenza coinfection was confirmed in four patients and suspected in another. The 52.5% of episodes occurred outside the influenza seasonal epidemic. The 67.5% of affected persons were elderly individuals and adults with severe comorbidities, although 13 patients had no comorbidities, 2 of them had a fatal outcome. Eleven clones were identified, the most prevalent being emm1/ST28 (43.6%) causing the most severe cases.

conclusionsS. pyogenes pneumonia had a continuous presence frequently unrelated to influenza infection, being rapidly fatal even in previously healthy individuals.

Indexed as

GenotypePneumonia, BacterialStreptococcal InfectionsStreptococcus pyogenesAdultAntigens, BacterialBacterial Outer Membrane ProteinsCarrier ProteinsFemaleHumansMaleMortalityRetrospective StudiesSpainAntigens, BacterialBacterial Outer Membrane ProteinsCarrier Proteinsstreptococcal M protein

Identifiers

PMID27027618
PMCPMC4814053
OpenAlexW2323658649

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.