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

Am J Med. 1986 Oct;81(4):723-6. doi: 10.1016/0002-9343(86)90567-x.


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 beta-hemolytic streptococcal infection can cause explosive pleuritis in the absence of apparent bronchopneumonia.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Humans
  • Male
  • Penicillin G / therapeutic use
  • Pleurisy / diagnostic imaging
  • Pleurisy / drug therapy
  • Pleurisy / microbiology*
  • Pleurisy / physiopathology
  • Radiography
  • Streptococcal Infections / diagnostic imaging
  • Streptococcal Infections / drug therapy
  • Streptococcal Infections / physiopathology*
  • Streptococcus agalactiae*


  • Penicillin G