Beta-haemolytic group A, B, C and G streptococcal septicaemia: a clinical study

Scand J Infect Dis. 1988;20(2):119-25. doi: 10.3109/00365548809032427.


87 beta-haemolytic streptococcal septicaemias in adult patients during 1979-86 in a university hospital were reviewed. 25% were caused by group A streptococcus, 17% by group B, 14% by group C and 44% by group G streptococcus. 67% of the septicaemias due to group B streptococcus were nosocomial, whereas the group A, C or G septicaemias were in most cases community-acquired. Alcoholism was the most common underlying disease in group A (32%) and malignancy in group G streptococcal septicaemias (45%). The most common origin and focus of infection in group A, C and G streptococcal septicaemias was the skin. The total mortality in beta-haemolytic streptococcal septicaemias was 20%, higher in septicaemias caused by group A (32%) and group B (33%) than by group C (17%) and group G (8%) streptococci. Nevertheless, there were more patients in group G streptococcal septicaemias with severe underlying diseases than in other groups of beta-haemolytic streptococci. The present data seem to indicate that a septicaemia due to group G is a more benign disease than a septicaemia due to group A streptococcus.

Publication types

  • Review

MeSH terms

  • Adult
  • Alcoholism / complications
  • Humans
  • Neoplasms / complications
  • Sepsis* / epidemiology
  • Sepsis* / etiology
  • Skin Diseases, Infectious
  • Streptococcal Infections* / epidemiology
  • Streptococcal Infections* / etiology
  • Streptococcus agalactiae
  • Streptococcus pyogenes
  • Time Factors