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Background: The incidence of invasive group A streptococcal infection (iGAS) is on the rise. Necrotizing pneumonia as suppurative sequelae is rare but potentially fatal complication of the disease in children. Successful treatment and cure depend on supportive management and early administration of intravenous antibiotics.
Case Presentation: A case was reported of previously healthy 5-year old boy who developed severe rapidly progressing lung disease secondary to iGAS sepsis. He was diagnosed with necrotizing pneumonia after failure of antimicrobial therapy.
Result: He made rapid complete recovery following surgical lobectomy.
Conclusion: Necrotizing pneumonia is a serious complication of iGAS and clinicians need to consider this diagnosis in a child with rapidly progressing pneumonia not improving with adequate antibiotics.