Abstract
Introduction: Group A Streptococcus (GAS, Streptococcus pyogenes) is a major cause of invasive bacterial illness in children and adolescents. A literature search revealed very limited number of case reports showing an association between GAS pneumonia and atypical Kawasaki disease in a healthy female toddler. Case Report: We report a 2-year-old female who recently migrated from Guatemala presented with GAS pneumonia and empyema treated with thoracentesis, antibiotics and supportive care. Despite being on antibiotics which are sensitive to GAS, she continued to have recurrent high-grade fever with severe respiratory distress …
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