Explosive pleuritis. Manifestation of group A beta-hemolytic streptococcal infection

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Abstract

Two young adults had clinical and roentgenographic evidence of explosive pleuritis that was caused by group A beta-hemolytic streptococci. Persistent high fever and intense pleuritic pain following severe pharyngitis should suggest streptococcal pleural infection and prompt careful roentgenographic investigation. These cases show that group A betahemolytic streptococcal infection can cause explosive pleuritis in the absence of apparent bronchopneumonia.

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