case_images: PMC10788092_01
case_images: Chest X-ray on the first admission showing no significant alteration
case_images: cureus-0016-00000052255-i01.jpg
case_images: PMC10788092_01_cureus-0016-00000052255-i01.jpg
case_images: FIG1
case_images: The chest X-ray was normal (Figure 1), and the arterial blood gas showed no signs of hyperlactatemia or respiratory failure.
case_images: Diffuse, exuberant erythematous rash that blanches on pressure, a rare finding in streptococcal shock
case_images: cureus-0016-00000052255-i02.jpg
case_images: PMC10788092_01_cureus-0016-00000052255-i02.jpg
case_images: FIG2
case_images: After six hours, he returned to the emergency room in shock, with altered mental status, a very agitated, Glasgow Coma Scale score of 12 (E2 V4 M6), hypotensive, tachycardic, with evident signs of hypoperfusion, tachypnoeic with acute respiratory failure, and an exuberant erythematous rash (Figure 2).
case_images: Thoracic-abdominopelvic CT on the second admission showing extensive lung consolidation bilaterally consistent with congestion
case_images: cureus-0016-00000052255-i03.jpg
case_images: PMC10788092_01_cureus-0016-00000052255-i03.jpg
case_images: FIG3
case_images: Thoracic-abdominopelvic CT showed extensive lung consolidation bilaterally consistent with congestion, without any other alterations (Figure 3).