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Diagram of the group A streptococcal cell covered with an outer hyaluronic acid capsule and the group A carbohydrate, consisting of a polymer of rhamnose with N-acetylglucosamine side chains. Diagram of the group A streptococcal cell covered with an outer hyaluronic acid capsule and the group A carbohydrate, consisting of a polymer of rhamnose with N-acetylglucosamine side chains. Streptococcal M protein extends from the cell wall and is anchored in the membrane. (Reprinted from reference119 with permission from the publisher.) Madeleine W. Cunningham Clin. Microbiol. Rev. 2000; doi: /CMR
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