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lüll Streptoccocus pyogenes: a forgotten cause of severe community-acquired pneumonia Birch C; Gowardman JAnaesth Intensive Care 2000[Feb]; 28 (1): 87-90We report a case of severe community-acquired pneumonia caused by Streptococcus pyogenes (Lancefield Group A streptoccocus) that was complicated by a streptococcal toxic shock syndrome. 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.|*Streptococcus pyogenes[MESH]|Adult[MESH]|Community-Acquired Infections/microbiology[MESH]|Humans[MESH]|Male[MESH]|Pneumonia, Bacterial/*microbiology[MESH]|Shock, Septic/microbiology[MESH]|Streptococcal Infections/*etiology[MESH] |