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Tags: 1990, Adult, Annals of emergency medicine, Department of Emergency Medicine, Diagnosis, Differential, Emergency Service, Female, Fontanarosa P B, Gallo U E, Hospital, Humans, NEOMED College of Medicine, Pharyngitis/*complications, Septic/blood/*diagnosis/etiology, Shock, Sinusitis/*complications, Streptococcal Infections/*complications, Streptococcus pyogenes