Rare Severe Complications of a Group A Streptococcal Infection in a Young Child: A Case Report

To the Editors: Group A streptococcus (GAS), also known as Streptococcus pyogenes, is an anaerobic, gram-positive beta-hemolytic bacterium that commonly colonizes the nasopharynx and skin.1 M proteins facilitate adhesion to the mucosal membrane, particularly the tonsils, facilitating epithelial invasion. GAS produces toxins, resulting in tissue damage and deeper infections due to immune complex formation.1 Clinical manifestations range from localized infections of the ear, nose, throat and lungs