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Fatal bacterial infections surging in Japan with unknown cause, reports says

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Fatal bacterial infections surging in Japan with unknown cause, reports says

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Japan is reporting a spike in potentially fatal bacterial infections.

Cases of streptococcal toxic shock syndrome (STSS), which is caused by Group A Streptococcus bacteria, have reached 977 in the country so far this year as of June 2, according to Japan’s National Institute of Infectious Diseases.

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That is almost triple the number of cases reported at this time last year.

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The cause for the surge is not known.

It could be linked to weakened immunity after the COVID pandemic, according to Tokyo Women’s Medical University professor Ken Kikuchi. 

Takeshita Street in Harajuku is one of the most popular streets in Tokyo. Japan is currently reporting a spike in potentially fatal bacterial infections. (iStock)

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“We can boost immunity if we are constantly exposed to bacteria, but that mechanism was absent during the coronavirus pandemic,” Kikuchi told NKH World Japan. 

“So, more people are now susceptible to infection, and that may be one reason for the sharp rise in cases.”

“It can lead to sepsis and death if not treated quickly with antibiotics and fluids.”

Thomas Moore, M.D., a clinical professor at the University of Kansas School of Medicine-Wichita, said he’s not convinced the pandemic is the culprit.

“I can’t conclusively say that that’s incorrect, but this is the kind of thing where it spreads more easily when people are crowded together, like they can be in Tokyo,” he said in an interview with Fox News Digital.

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Streptococcal toxic shock syndrome (STSS) is caused by Group A Streptococcus bacteria. (iStock)

“So it’s not so much an effect of weakened immunity as much as it is a very brisk immunity — a brisk immunologic reaction that results in the illness.”

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Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, warned that STSS can overcome an immune system that isn’t functioning properly.

“It’s similar to toxic shock syndrome, but with strep instead of staph,” he told Fox News Digital.

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What is STSS?

Streptococcal toxic shock syndrome is a rare but serious bacterial infection, as defined by the U.S. Centers for Disease Control and Prevention (CDC).

It occurs when the Group A Streptococcus bacteria travels into deep tissues and the bloodstream.

“Everybody’s familiar with strep throat, and that’s generally the same organism,” said Moore.

“The main difference between common, regular strep throat and this particular condition is a specific gene that produces a toxin that results in this severe outbreak,” an expert said. (iStock)

“The main difference between common, regular strep throat and this particular condition is a specific gene that produces a toxin that results in this severe outbreak.”

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Although STSS usually does not spread from person to person, the less severe group A strep infection — which can lead to STSS if it spreads to the tissues or bloodstream — is very contagious.

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Initial symptoms usually include fever and chills, muscle aches, and nausea and vomiting, per the CDC.

Within a day or two, blood pressure starts to drop, which can lead to more dangerous effects like elevated heart rate, rapid breathing, sepsis, tissue death and organ failure.

People with STSS require hospitalization and immediate medical care, including intravenous fluids and other treatments for shock and organ failure, the CDC said. (iStock)

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STSS can be fatal, with about one in 10 patients dying from the infection.

Although there is no specific test for STSS, it is diagnosed based on the presence of group A strep, low blood pressure and issues with two or more organs (blood, kidney, liver, lung, skin or soft tissue).

          

Higher-risk groups include older adults over 65, people with open wounds, and those with diabetes or alcohol use disorder, according to the CDC.

People with STSS require hospitalization and immediate medical care, including intravenous fluids and other treatments for shock and organ failure, the agency stated on its website.

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Frequent hand-washing is one of the most effective prevention tactics, doctors say. (iStock)

“It can lead to sepsis and death if not treated quickly with antibiotics and fluids,” Siegel warned.

In severe cases, he said, patients may require surgery to remove infected tissue or even limb amputation.

Prevention tips

Although there is no vaccine for Group A strep infections, the CDC recommends implementing prevention tips — chiefly limiting exposure to those who are infected.

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It is also important to properly clean and care for wounds and fungal infections.

“If it gets on your skin where you have a break of some kind, it can invade the lymphatic system and cause infection,” Moore warned. 

It is important to properly clean and care for wounds and fungal infections to prevent infection, according to experts. (iStock)

The doctor typically sees this in people who have swelling of their legs due to obesity, diabetes or a condition such as athlete’s foot, he said.

“When streptococcal infection gets in through other parts of the body, like the legs or a surgical incision, that can be pretty serious,” he said.

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Frequently washing hands, following proper coughing and sneezing etiquette, and thoroughly washing all dishes after use can help prevent spread, per the CDC.

Treatment with antibiotics also minimizes contagion.

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Scientists pinpoint why COVID vaccine may trigger heart inflammation in certain people

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Scientists pinpoint why COVID vaccine may trigger heart inflammation in certain people

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A new study has identified why mRNA COVID-19 vaccines could trigger heart issues, especially in one demographic. (iStock)

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SCREENING DEBATE A new study questions whether annual mammograms are necessary for most women

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Aging-related joint disorder increasingly affects people under 40, study finds

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Aging-related joint disorder increasingly affects people under 40, study finds

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Cases of gout are rising in younger individuals, according to a global study.

The condition, which is a type of inflammatory arthritis, steadily increased in people aged 15 to 39 between 1990 and 2021, researchers in China announced.

Although rates vary widely between countries, the total number of young people with the condition is expected to continue rising through 2035.

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The study, published in the journal Joint Bone Spine, investigated 2021 data from the Global Burden of Disease (GBD), spanning 204 countries within the 30-year timeframe.

The data measured gout prevalence, incidence and years lived with disability, tracking global trends over time. The results showed a global increase across all three outcomes.

Gout is expected to continue rising in young people through 2035. (iStock)

Prevalence and disability years increased by 66%, and incidence rose by 62%. In 2021, 15- to 39-year-olds accounted for nearly 14% of new gout cases globally, the study found.

Men from 35 to 39 years old and people in high-income regions had the highest burden, but high-income North America topped the list for highest rates.

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Men were also found to have lived more years with gout due to high BMI, while women tended to have the condition as a link to kidney dysfunction, the study noted.

The total number of cases is expected to increase globally due to population growth, but the study projected that rates per population would decrease.

The researchers noted that data quality, especially in low-income settings, could have posed a limitation to the broad GBD data.

What is gout?

Gout is a common form of arthritis involving sudden and severe attacks of pain, swelling, redness and tenderness in the joints, according to Mayo Clinic. It most often occurs in the big toe.

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The condition occurs when urate crystals accumulate in the joint. These form when there are high levels of uric acid in the blood, which the body produces when it breaks down a natural substance called purines.

A gout flare-up can happen at any time, often at night, causing the affected joint to feel hot, swollen, tender and sensitive to the touch.

Urate crystals, described as sharp and needle-like, build up in the joint, causing intense pain and swelling. (iStock)

Purines can also be found in certain foods, like red meat or organ meats like liver and some seafood, including anchovies, sardines, mussels, scallops, trout and tuna, according to the Mayo Clinic. Alcoholic drinks, especially beer, and drinks sweetened with fruit sugar can also lead to higher uric acid levels.

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Uric acid will typically dissolve in the blood and pass through the kidneys into urine, but when the body produces too much or too little uric acid, it can cause a build-up of urate crystals. These are described by the Mayo Clinic as sharp and needle-like, causing pain, inflammation and swelling in the joint or surrounding tissue.

Risk factors for gout include a diet rich in high-purine foods and being overweight, which causes the body to produce more uric acid and the kidneys to have trouble eliminating it.

Experts urge patients to seek medical attention for gout flare-ups. (iStock)

Certain conditions like untreated high blood pressure, diabetes, obesity, metabolic syndrome and heart and kidney diseases can increase the risk of gout, as well as certain medications.

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A family history of gout can also increase risk. Men are more likely to develop the condition, as women tend to have lower uric acid levels, although symptoms generally develop after menopause.

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Untreated gout can cause worsening pain and joint damage, experts caution. It may also lead to more severe conditions, such as recurrent gout, advanced gout and kidney stones.

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The Mayo Clinic advises patients to seek immediate medical care if a fever occurs or if a joint becomes hot and inflamed, which is a sign of infection. Certain anti-inflammatory medications can help treat gout flares and complications.

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Fox News Digital reached out to the researchers for comment.

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New study questions whether annual mammograms are necessary for most women

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New study questions whether annual mammograms are necessary for most women

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A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer.

The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography.

The WISDOM randomized clinical trial, led by study authors from universities and healthcare systems across the U.S., considered more than 28,000 women aged 40 to 74 years old, splitting them into a risk-based screening group and an annual mammography group.

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Researchers calculated each woman’s individual risk based on genetics (sequencing of nine breast cancer genes) and other health factors. 

A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer. (iStock)

Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. Patients with elevated risk were told to get an annual mammography and counseling.

Average-risk women were guided to get mammograms every two years, while low-risk individuals were advised to have no screening until they became higher risk or reached age 50.

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The researchers found that risk-based screening did not lead to more advanced cancer diagnoses (stage 2B or higher) compared with annual screening, indicating that it is just as safe as traditional methods. The risk-based approach, however, did not reduce the number of biopsies overall, as researchers had hoped.

Among the risk-based group of women, those with higher risk had more screening, biopsies and detected cancers. Women at lower risk had fewer procedures.

The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography. (iStock)

“[The] findings suggest that risk-based breast cancer screening is a safe alternative to annual screening for women aged 40 to 74 years,” the researchers noted in the research summary. “Screening intensity matched individual risk, potentially reducing unnecessary imaging.”

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Fox News medical contributor Dr. Nicole Saphier, associate professor of radiology at Memorial Sloan Kettering Cancer Center in New Jersey, commented that while these findings are important, the study “completely sidelines” what screenings are designed to do — detect cancer early.

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“If you don’t measure stage 0, stage 1 or stage 2A cancers, you can’t tell whether personalized screening delays diagnosis in a way that matters for survival and treatment intensity,” Saphier, who was not involved in the study, told Fox News Digital in an interview.

Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. (iStock)

More than 60% of breast cancers in the U.S. are diagnosed at stage 1 or 2A, where cure rates exceed 90%, the doctor noted.

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The trial doesn’t “fully evaluate” whether risk-based screening changes detection at the earliest and most treatable stages, where screening “delivers its greatest benefit,” according to Saphier.

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“Mammography is not without risk — radiation exposure, false positives, anxiety and potential over-diagnosis are real and should be acknowledged,” she said. “But it remains the most effective, evidence-based tool for detecting breast cancer early, when treatment is most successful.”

The expert added that labeling women under 50 as “low risk” is “outdated,” as breast cancer diagnoses are on the rise in younger females.

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“Until long-term mortality data support alternative approaches, annual screening beginning at 40 for average risk women should continue,” Saphier added. “Women should be assessed for breast cancer risk by 25 years old to determine if screening should begin earlier.”

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