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	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Since the mid-1980s, there has been an increasing incidence of invasive infections caused by group A -hemolytic streptococcus (GAS).¹ Invasive GAS infections are defined by the isolation of GAS from a normally sterile site in the setting of bacteremia without a focus or focal infections with or without bacteremias, including meningitis, pneumonia, peritonitis, puerperal fever, osteomyelitis, septic arthritis, necrotizing fasciitis, surgical wound infections, erysipelas, and cellulitis.² Conditions associated with increased risk of invasive GAS include human immunodeficiency virus, malignant neoplasm, heart or lung disease, diabetes mellitus, and alcoholism.¹ Meningitis caused by this organism is still very rare and accounts for less than 1% of all meningitides.³ We recently treated a middle-aged woman who developed meningitis after untreated otitis media and recovered fully.

Report of a Case

A 40-year-old woman presented to the emergency department complaining of left otalgia, headache, and fever for 3 days. She experienced photophobia and vomited twice on the day of . . . [Full Text of this Article]

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Reprints: Deborah S. Asnis, MD, The New York Flushing Hospital Medical Center, 4500 Parsons Blvd, Flushing, NY 11355.

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