PT - JOURNAL ARTICLE ED - , TI - Group A Streptococcus: a re-emergent pathogen. Infectious Diseases and Immunization Committee, Canadian Paediatric Society DP - 1993 Jun 01 TA - Canadian Medical Association Journal PG - 1909--1916 VI - 148 IP - 11 4099 - http://www.cmaj.ca/content/148/11/1909.short 4100 - http://www.cmaj.ca/content/148/11/1909.full SO - CMAJ1993 Jun 01; 148 AB - Rheumatic fever is still rare in North America but must continue to be considered in the appropriate clinical setting. Invasive or severe GABHS disease remains unusual and is unlikely to be missed by the practitioner; however, it is essential that GABHS infection be considered as a possible cause of a severe sepsis-like syndrome. Currently the routine management of GABHS infection is unchanged; however, heightened awareness of the infection's rare, more serious complications is needed.