Background: Acute bacterial meningitis caused by group A streptococcus (GAS) are unusual in childhood. Varicella is well-known predisposing factor for GAS infections.
Case Report: A 7-year-old girl admitted with fever, sleepness and varicella skin rash. Lumbal puncture was performed and cerebrospinal fluid culture yielded GAS. Despite of the intensive therapy the patient died at the third day of admission.
Conclusions: Invasiv GAS infections may occur during varicella and clinicians should be aware of these potential life-threatining complications.

Keywords: group A streptococcus, Meningitis, varicella