Cases of Invasive Group A Strep (iGAS) are rare. Some current cases are presenting with sepsis-like symptoms.

Be aware of important sepsis symptoms:

• Blue, pale or blotchy skin, lips or tongue – on darker skin, check for blueness on the lips, tongue or gums, under the nails or around the eyes
• Rash that doesn’t fade when you roll a glass over it
• Difficult breathing
• Weak, high-pitched cry – not like their normal cry
• Not responding like normal, not interested in feeding or normal activities
• Being sleepier than normal or difficult to wake

Parents should trust their judgement when their child is poorly. Speak to your GP or call 111 if your child is poorly and getting worse.

Always call 999 or go to A&E if your child:

• Is having difficulty breathing – such as grunting noises or their tummy sucking under their ribs
• There are pauses when your child breathes
• Child’s skin, tongue or lips are blue
• Is floppy and will not wake up or stay awake