Emerging Infectious Diseases 2014-Jan
Rapidly fatal hemorrhagic pneumonia and group A Streptococcus serotype M1.
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We report 3 cases of fulminant hemorrhagic pneumonia in previously health patients. Sudden-onset hemoptysis and dyspnea developed; all 3 patients and died <12 h later of massive pulmonary bleeding, despite aggressive supportive care. Postmortem analysis showed that the illnesses were caused by group A Streptococcus emm1/sequence type 28 strains.