{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T09:50:08Z","timestamp":1791539408101,"version":"4.3.4"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:00:00Z","timestamp":1791504000000},"content-version":"vor","delay-in-days":281,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Critical Care"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    Invasive Group A\n                    <jats:italic>Streptococcus<\/jats:italic>\n                    (iGAS) infection is a disease state with increasing incidence internationally. This case report outlines a patient with severe septic shock from Group A beta\u2010haemolytic\n                    <jats:italic>Streptococcus<\/jats:italic>\n                    within a provincial intensive care unit (ICU) in New Zealand. Consequently, this case has prompted discussion on the local change in epidemiology for Group A beta\u2010haemolytic\n                    <jats:italic>Streptococcus<\/jats:italic>\n                    (GAS) and a review of the evidence of recognised interventions for iGAS and Streptococcal toxic shock syndrome (STSS).\n                  <\/jats:p>","DOI":"10.1155\/crcc\/6007143","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T09:04:19Z","timestamp":1791536659000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["An Unusual Presentation of Invasive Group A\n                    <i>Streptococcus<\/i>\n                    \u2014A Review of Epidemiology and Challenges in Management"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4272-5654","authenticated-orcid":false,"given":"Fatima","family":"Hakak","sequence":"first","affiliation":[{"name":"Department of Critical Care Rotorua Hospital  Rotorua New Zealand  nosm.ca"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7249-9688","authenticated-orcid":false,"given":"Blake W.","family":"Jackson","sequence":"additional","affiliation":[{"name":"Department of Critical Care Rotorua Hospital  Rotorua New Zealand  nosm.ca"},{"name":"Pharmacy Service Rotorua Hospital  Rotorua New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4805-8140","authenticated-orcid":false,"given":"Michael","family":"Addidle","sequence":"additional","affiliation":[{"name":"Pathlab NZ  Tauranga New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5229-2186","authenticated-orcid":false,"given":"Ulrike","family":"Buehner","sequence":"additional","affiliation":[{"name":"Department of Critical Care Rotorua Hospital  Rotorua New Zealand  nosm.ca"},{"name":"Department of Anaesthesia Rotorua Hospital  Rotorua New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,9]]},"reference":[{"key":"e_1_2_8_1_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.43944"},{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.26635\/6965.6094"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.2165\/11634180-000000000-00000"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198907063210101"},{"key":"e_1_2_8_5_2","volume-title":"StatPearls","author":"Ross A.","year":"2024"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jiph.2024.102545"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.3390\/children11040383"},{"key":"e_1_2_8_8_2","volume-title":"Invasive group {A} streptococcal infection in {New Zealand}, 2023","author":"Ammar S.","year":"2024"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jiw229"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.9779"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-024-05139-z"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-021-06506-y"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000007075"},{"key":"e_1_2_8_14_2","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1001\/jama.2024.9803","article-title":"Prolonged vs Intermittent Infusions of \u03b2-Lactam Antibiotics in Adults With Sepsis or Septic Shock: A Systematic Review and Meta-Analysis","volume":"332","author":"Abdul-Aziz Mohd H.","year":"2024","journal-title":"JAMA"},{"key":"e_1_2_8_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2249.2009.03955.x"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001090"},{"key":"e_1_2_8_17_2","unstructured":"National Blood Authority Australia Toxic shock syndrome (TSS) 2025 Ig Governance - Criteria for the Clinical Use of Immunoglobulin in Australiahttps:\/\/www.criteria.blood.gov.au\/MedicalCondition\/View\/2479."}],"container-title":["Case Reports in Critical Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crcc\/6007143","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/crcc\/6007143","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crcc\/6007143","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T09:04:21Z","timestamp":1791536661000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/crcc\/6007143"}},"subtitle":[],"editor":[{"given":"Lipi","family":"Buch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/crcc\/6007143"],"URL":"https:\/\/doi.org\/10.1155\/crcc\/6007143","archive":["Portico"],"relation":{},"ISSN":["2090-6420","2090-6439"],"issn-type":[{"value":"2090-6420","type":"print"},{"value":"2090-6439","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-08-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"6007143"}}