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We describe a case of Streptococcus pyogenes meningitis complicated by sensorineural hearing loss in an immunocompetent 7-year-old boy. Clinicians should be aware of GAS as a potential cause of paediatric meningitis, especially with prominent symptoms suggestive of frontal sinusitis. Meningitis caused by GAS has been shown to be associated with significant mortality and morbidity, including neurological complications. Early screening for sensorineural hearing loss in patients with GAS meningitis can facilitate timely cochlear implant.<\/jats:p>","DOI":"10.1093\/pch\/pxaa065","type":"journal-article","created":{"date-parts":[[2020,5,28]],"date-time":"2020-05-28T08:10:03Z","timestamp":1590653403000},"page":"e129-e131","source":"Crossref","is-referenced-by-count":6,"title":["Uncommon clinical presentation of a common bug: Group A<i>Streptococcus<\/i>meningitis"],"prefix":"10.1093","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3745-9686","authenticated-orcid":false,"given":"Jimin","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of Ottawa, Ottawa, Ontario"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Blackburn","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Immunology and Allergy, Department of Pediatrics, University of Ottawa, Ottawa, Ontario"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Pham-Huy","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Immunology and Allergy, Department of Pediatrics, University of Ottawa, Ottawa, Ontario"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,5,28]]},"reference":[{"issue":"3","key":"2021042709270309300_CIT0001","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1128\/CMR.13.3.470","article-title":"Pathogenesis of group A streptococcal infections","volume":"13","author":"Cunningham","year":"2000","journal-title":"Clin Microbiol Rev"},{"issue":"1","key":"2021042709270309300_CIT0002","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1097\/MAO.0b013e3181c2a02d","article-title":"Cochlear implantation in postmeningitic deafness","volume":"31","author":"Philippon","year":"2010","journal-title":"Otol Neurotol"},{"issue":"5","key":"2021042709270309300_CIT0003","doi-asserted-by":"crossref","first-page":"1169","DOI":"10.1542\/peds.108.5.1169","article-title":"Lumbar puncture in pediatric bacterial meningitis: Defining the time interval for recovery of cerebrospinal fluid pathogens after parenteral antibiotic pretreatment","volume":"108","author":"Kanegaye","year":"2001","journal-title":"Pediatrics"},{"issue":"6","key":"2021042709270309300_CIT0004","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1111\/j.1553-2712.2008.00117.x","article-title":"Children with bacterial meningitis presenting to the emergency department during the pneumococcal conjugate vaccine era","volume":"15","author":"Nigrovic","year":"2008","journal-title":"Acad Emerg Med"},{"issue":"2","key":"2021042709270309300_CIT0005","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1097\/INF.0b013e31826fd4af","article-title":"Group A streptococcus meningitis in children","volume":"32","author":"de Almeida Torres","year":"2013","journal-title":"Pediatr Infect Dis J"},{"key":"2021042709270309300_CIT0006","first-page":"30","article-title":"Characteristics of intracranial group A streptococcal infections in US children, 1997\u20132014","volume":"9","author":"Link-gelles","year":"2020","journal-title":"J Pediatric Infect Dis Soc"},{"issue":"6","key":"2021042709270309300_CIT0007","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1097\/00006565-200112000-00007","article-title":"Group A streptococcal meningitis: Report of a case and review of literature since 1976","volume":"17","author":"Shetty","year":"2001","journal-title":"Pediatr Emerg Care"},{"issue":"8","key":"2021042709270309300_CIT0008","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1007\/s100960050349","article-title":"Group A streptococcal meningitis in the antibiotic era","volume":"18","author":"Barald\u00e9s","year":"1999","journal-title":"Eur J Clin Microbiol Infect Dis"},{"issue":"9","key":"2021042709270309300_CIT0009","first-page":"CD004405","article-title":"Corticosteroids for acute bacterial meningitis","author":"Brouwer","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"issue":"2","key":"2021042709270309300_CIT0010","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1128\/CMR.00101-13","article-title":"Disease manifestations and pathogenic mechanisms of Group A Streptococcus","volume":"27","author":"Walker","year":"2014","journal-title":"Clin Microbiol Rev"},{"key":"2021042709270309300_CIT0011","article-title":"Quarterly report: Invasive group A streptococcal disease, January 1, 2018 to March 31, 2018","author":"Public Health Ontario.","year":"2018"},{"key":"2021042709270309300_CIT0012","doi-asserted-by":"crossref","first-page":"59","DOI":"10.3389\/fpubh.2018.00059","article-title":"Prevalent emm Types among invasive GAS in Europe and North America since year 2000","volume":"6","author":"Gherardi","year":"2018","journal-title":"Front Public Heal"}],"container-title":["Paediatrics &amp; 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