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Abstract

Infectious panniculitis caused by group A beta-hemolytic streptococcus is rare, especially in immunocompetent patients. Its clinical presentation is usually nonspecific, but skin biopsy may provide information on the source. We describe the case of a previously healthy 2-year-old girl who presented with fever, tachycardia, and diffuse erythematous skin nodule; biopsy revealed a deep lobular neutrophilic panniculitis with gram-positive bacteria.