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Previous Volume 336:513-515 February 13, 1997 Number 7 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Davies et al. (Aug. 22 issue)¹ identify an annual incidence of 1.5 cases of invasive group A streptococcal disease in Ontario, Canada, in 1992 and 1993. The mortality rate was 15 percent. This prospective study relies on identifications from hospital microbiology laboratories and from Ontario's largest private laboratory service. These statistics may be misleading; the real incidence is probably much higher and the mortality rate much lower. The problem is that most patients with invasive streptococcal infection will present to the family practitioner or community pediatrician with uncomplicated superficial cellulitis, erysipelas,² or perianal cellulitis.³ Occasionally, blood cultures . . . [Full Text of this Article]

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