@entity137 . A newly recognized complication of @entity683 and XXXX .

@entity1 @entity5131 @entity137 @entity6062 @entity3615 @entity794 @entity683 @entity2623 @entity551 @entity221 @entity204
Nine cases of severe @entity551 or @entity204 compatible with @entity137 ( @entity137 ) as a complication of @entity683 and @entity221 were identified in Minnesota with onsets between Jan 2, 1986, and Feb 23, 1986, in which five of the @entity1 died. During this time, an @entity683 outbreak was occurring in the state. Cultures of respiratory secretions were performed in eight @entity1 ; @entity794 was isolated from all of them. Seven @entity794 isolates were available for determination of exotoxin production; five isolates produced @entity137 toxin-1, one produced enterotoxin B, and one produced both. Acute @entity2623 was confirmed in three of four @entity1 for whom throat cultures or acute and convalescent serum samples were available. Two @entity1 fulfilled the Centers for Disease Control-confirmed case definition for @entity137 . Four additional @entity1 fulfilled the CDC criteria for a probable case of @entity137 , and @entity137 was a likely diagnosis in the remaining three @entity1 . The initial presentation was suggestive of nonsuppurative @entity6062 or @entity5131 in eight @entity1 . In the remaining @entity1 , the initial clinical presentation was compatible with @entity3615 . This report demonstrates that @entity137 can occur as a complication of @entity683 and @entity221 .
