CMAJ. 1993 Jun 1;148(11):1909-16.
Rheumatic fever is still rare in North America but must continue to be considered in the appropriate clinical setting. Invasive or severe GABHS disease remains unusual and is unlikely to be missed by the practitioner; however, it is essential that GABHS infection be considered as a possible cause of a severe sepsis-like syndrome. Currently the routine management of GABHS infection is unchanged; however, heightened awareness of the infection's rare, more serious complications is needed.
风湿热在北美仍然较为罕见，但在适当的临床环境中仍需持续予以考虑。侵袭性或严重的A组β溶血性链球菌（GABHS）疾病仍然不常见，从业者不太可能漏诊；然而，必须将GABHS感染视为严重脓毒症样综合征的一个可能病因。目前，GABHS感染的常规管理并无变化；然而，需要提高对该感染罕见但更严重并发症的认识。
