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A 36-year-old woman with insignificant medical history presented to the emergency department with high fever and sore throat. Her body temperature was 38.5°C and pharyngeal erythema was observed. The rapid antigen-detection test for group A streptococcus (GAS) and antistreptolysin O titre were positive. A 10-day course of oral amoxicillin–clavulanate was prescribed, and fever and throat symptoms resolved. Few days later, low-grade fever appeared, accompanied by fatigue, malaise and arthralgias. Finally, due to new-onset shortness of breath, the patient returned to …
Contributors NS and AM wrote the manuscript. KS and SP revised it. NS worked out almost all of the technical details.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.