Overlapping Presentation of Group A Streptococcus and Upper Respiratory Infection in a Pediatric Patient: A Case Report.

Group A Streptococcus (GAS) pharyngitis has increased in case presentations, higher than prepandemic data. GAS pharyngitis requires appropriate antibiotic treatment to reduce the risk of subsequent complications if not recognized and treated promptly. However, regional observations have noted an increase in overlapping symptoms of GAS pharyngitis and viral upper respiratory infection symptoms, making the decisions to test for GAS more complex. Current guidelines do not delineate testing and treatment guidelines for this presentation scenario. This case report describes a 5-year-old female with overlapping GAS and upper respiratory infection symptoms, who tested positive via rapid GAS pharyngeal test and was treated with oral antibiotics.