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S. pyogenes' skin infection diagnostics

S. pyogenes is "flesh-eating" bacteria. It results from life-theatening myonecrosis caused by this organism. S. pyogenes avoids phagocytosis (mediated primarily by capsule, M and M-like proteins, C5a ...
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How can a respiratory infection lead to a skin infection?

Example of a case: 5 children develop a bright red rash on the face and turns violet after a few days and then disappears. Then maculopapular rash appears on the trunk, buttocks and extremities. It ...