Evidence map›Paper›PMID 28790435›Full record

ArticleScientific reports2017

Emergence of a Streptococcus dysgalactiae subspecies equisimilis stG62647-lineage associated with severe clinical manifestations.

Oddvar Oppegaard, Haima Mylvaganam, Steinar Skrede, Paul Christoffer Lindemann, Bård Reiakvam Kittang

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

29 citing papers in PubMed, 51 citations in OpenAlex.

  1. Emerging trends in invasiveEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026
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  3. Dominance of the ST20Microorganisms · 2026
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  4. Genomic and patient epidemiology ofMicrobiology spectrum · 2026
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  5. The dynamic Alp landscape ofFrontiers in cellular and infection microbiology · 2026
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  6. Streptococcus dysgalactiae as a cause of peripartum infections - a population-based cohort study with phylogenetic analysis of hospital clusters.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  7. Microorganisms · 2025
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  8. Article
  9. Analysis ofmBio · 2025
    Article
  10. Article
  11. Article
  12. Frontiers in cellular and infection microbiology · 2025
    Article
  13. Article
  14. Clinical microbiology reviews · 2024
    Review
  15. Article
  16. Antimicrobial resistance patterns inFrontiers in microbiology · 2024
    Article
  17. Incidence, seasonal pattern, and clinical manifestations of Streptococcus dysgalactiae subspecies equisimilis bacteremia; a population-based study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2023
    Article
  18. Epidemiological and Clinical Features ofPathogens (Basel, Switzerland) · 2023
    Article
  19. Review
  20. 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

5 authors at 2 institutions in 1 country.

Oddvar OppegaardDepartment of Medicine, Haukeland University Hospital, Bergen, Norway. Oddvar.Oppegaard@helse-bergen.no.
Haima MylvaganamDepartment of Microbiology, Haukeland University Hospital, Bergen, Norway.
Steinar SkredeDepartment of Medicine, Haukeland University Hospital, Bergen, Norway.
Paul Christoffer LindemannDepartment of Microbiology, Haukeland University Hospital, Bergen, Norway.
Bård Reiakvam KittangDepartment of Medicine, Haraldsplass Deaconess Hospital, Bergen, Norway.
Haukeland University Hospital · NOHaraldsplass Diakonale Sykehus · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Increasing incidence rates of invasive Streptococcus dysgalactiae subspecies equisimilis (SDSE) infections have been reported worldwide, but the evolutionary mechanisms underlying this development remain elusive. Through prospective surveillance of invasive SDSE infections in western Norway, we observed the emergence of a novel and virulent SDSE genotype, stG62647. This emm-type, rarely encountered as a cause of invasive disease during 1999-2012, emerged in 2013 as the predominant SDSE-genotype. The stG62647-infections were associated with an aggressive clinical course, including the occurrence of streptococcal toxic shock syndrome, necrotizing soft-tissue infections and endocarditis. All the invasive stG62647-isolates were subjected to whole genome sequencing, attempting to explore the genetic events underpinning its epidemicity. Although 10% of the genomes was unique for stG62647-genotype, notably 18 out of 19 isolates contained a disrupted streptococcal invasive locus (sil) due to the insertion of a transposase, IS1548, into the silB-gene. We postulate that the virulence of stG6267-isolates could be partly attributable to the abrogation of the attenuating control normally exerted by this regulon, although experimental verification was not performed. To the best of our knowledge, this is the first study employing large scale whole genome sequencing to illuminate the genetic landscape of epidemic lineages in SDSE.

Indexed as

Gene Expression Regulation, BacterialGenome, BacterialAdultBacterial ProteinsDisease OutbreaksEndocarditis, BacterialGenetic LociGenotypeHumansMutagenesis, InsertionalNorwayPhylogenyRegulonShock, SepticSoft Tissue InfectionsStreptococcal InfectionsBacterial ProteinsTransposasesVirulence Factors

Identifiers

PMID28790435
PMCPMC5548910
OpenAlexW2741720121

What OpenQuestion holds

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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.