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Increasing Invasive Disease Due to Penicillin Resistant S. pneumoniae in India Balaji, Veeraraghavan; Thomas, Kurien; Joshi, Hari Har & Beall, Bernard Abstract S. pneumoniae continues to be a major cause of invasive disease worldwide with considerable mortality and morbidity. Here we report the emergence of penicillin intermediate resistance to S. pneumoniae in India, which may predispose for an increased incidence of invasive pneumococcal disease in both children and adults with multi-drug resistance profile resulting in clinical failure. Keywords India, penicillin resistance, S. pneumoniae

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