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Although this micro-organism is an uncommon cause of community-acquired pneumonia, previously well individuals may be infected and the clinical course may be fulminant. A household contact was the likely point of infection. Invasive group A streptococcal disease continues to remain an important cause of morbidity and mortality in the community and therefore will continue to be encountered by intensive care physicians. Treatment of Group A streptococcal infection remains penicillin; however, clindamycin should be added in severe infection.<\/jats:p>","DOI":"10.1177\/0310057x0002800117","type":"journal-article","created":{"date-parts":[[2019,1,16]],"date-time":"2019-01-16T03:58:08Z","timestamp":1547611088000},"page":"87-90","source":"Crossref","is-referenced-by-count":20,"title":["<i>Streptoccocus Pyogenes<\/i>\n                    : A Forgotten Cause of Severe Community-Acquired Pneumonia"],"prefix":"10.1177","volume":"28","author":[{"given":"C.","family":"Birch","sequence":"first","affiliation":[{"name":"Intensive Care Unit, Wellington Hospital, Wellington South, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Gowardman","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, Wellington Hospital, Wellington South, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2000,2,1]]},"reference":[{"key":"bibr1-0310057X0002800117","doi-asserted-by":"publisher","DOI":"10.1093\/clind\/16.6.792"},{"key":"bibr2-0310057X0002800117","first-page":"553","volume-title":"Infectious diseases","author":"Bartlett J.G.","year":"1998"},{"key":"bibr3-0310057X0002800117","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198707163170305"},{"key":"bibr4-0310057X0002800117","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1993.03500030088038"},{"key":"bibr5-0310057X0002800117","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/14.1.2"},{"key":"bibr6-0310057X0002800117","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.1989.tb00255.x"},{"key":"bibr7-0310057X0002800117","doi-asserted-by":"publisher","DOI":"10.1177\/014107688708000821"},{"key":"bibr8-0310057X0002800117","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199608223350803"},{"key":"bibr9-0310057X0002800117","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1993.03500030082037"},{"issue":"1","key":"bibr10-0310057X0002800117","first-page":"26","volume":"14","author":"Spencer R.C.","year":"1995","journal-title":"Eur J Clin Microbiol Infect Dis"},{"key":"bibr11-0310057X0002800117","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(90)92777-F"},{"key":"bibr12-0310057X0002800117","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.97.10051150"},{"key":"bibr13-0310057X0002800117","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm\/148.3.813"},{"key":"bibr14-0310057X0002800117","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-199903000-00040"},{"key":"bibr15-0310057X0002800117","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199608223350811"},{"key":"bibr16-0310057X0002800117","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(52)90293-3"},{"key":"bibr17-0310057X0002800117","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/S1441-2772(23)00649-X","volume":"1","author":"Everest E.","year":"1999","journal-title":"Critical Care and Resuscitation"},{"key":"bibr18-0310057X0002800117","first-page":"1","volume":"2","author":"Lerner A.M.","year":"1975","journal-title":"DM"}],"container-title":["Anaesthesia and Intensive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0310057X0002800117","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0310057X0002800117","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:04:56Z","timestamp":1777367096000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0310057X0002800117"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,2]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2000,2]]}},"alternative-id":["10.1177\/0310057X0002800117"],"URL":"https:\/\/doi.org\/10.1177\/0310057x0002800117","relation":{},"ISSN":["0310-057X","1448-0271"],"issn-type":[{"value":"0310-057X","type":"print"},{"value":"1448-0271","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,2]]}}}