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- Síndrome do choque tóxico por Streptococcus PyogenesPublication . Antunes, R; Diogo, M; Carvalho, A; Pimentel, T; Oliveira, JRecently there has been an exponential increase in invasive infections caused by Streptococcus ß hemolyticcus group A. In about one third of cases they are complicated by toxic shock syndrome, characterized by septic shock and multiorgan failure. The authors, by their rarity, report a case of bacteraemia caused by Streptococcus pyogenes complicated by toxic shock syndrome.