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Enteroaggregative E. coli (EAgEC) was the most common pathogen identified; EAgEC was also a common isolate from normal stool samples, although its isolation was significantly associated with diarrhea.
Candida albicans has been a common isolate in posttreatment disease, usually as a monoinfection of the root filled canal.
Furthermore, clinical studies have shown that A. baumannii is a common isolate in neutropenic febrile patients [46].
Although Staphylococcus aureus is the most prevalent pathogen in both hospitals and communities and MRSA has become a common isolate associated with skin and soft tissue infections globally over the past few years, monomicrobial MRSA necrotizing fasciitis has been reported only in a few studies [ 4- 6].
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Serotype M3, the most frequent M type in our cohort and a relatively common isolate in other studies of invasive GAS (41, 42 ), seems to have replaced M1 as the leading cause of invasive streptococcal disease (8 ).
Isolates were of PCR ribotypes 001 (a common clinical isolate in Scotland [ 11]) and 017 (a common European PCR ribotype containing isolates that are negative for toxin A and positive for toxin B [ 12 ]).
MRSA NPRC 001R, a common endemic isolate with mecA gene obtained from Hat Yai hospital, Thailand [52] and S. aureus ATCC 29213 were used throughout this study.
In the current series, the most common isolate was C. albicans followed by Aspergillus fumigatus.
Gram-positive cocci were the most common isolate (n = 53; 60.9%) including Staphylococcus epidermidis (n = 14/53; 16.1%) and Streptococcus pneumoniae (n = 13/53; 13.8%).
S. typhi was the most common isolate among those over 5 to 14 years of age.
In our study Streptococcus pneumoniae was the most common isolate.
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