title: Explosive pleuritis. Manifestation of group A beta-hemolytic streptococcal infection.
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 beta-hemolytic streptococcal infection can cause explosive pleuritis in the absence of apparent bronchopneumonia.
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D010400:Penicillin G / Q000627:therapeutic use; D010998:Pleurisy / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology* / Q000503:physiopathology; D011859:Radiography; D013290:Streptococcal Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000503:physiopathology*; D013292:Streptococcus agalactiae
chemical_list: D010400:Penicillin G