Group B streptococcal infection as a pyrexia of unknown origin

Group B Streptococcal bacteraemia seldom behaves as a pyrexia of unknown origin (PUO) except in the context of infective endocarditis. Scleroderma is not known to predispose to Group B streptococcal infection. We report a case of Group B streptococcal bacteraemia presenting as a PUO in a patient with probable scleroderma in whom there was no evidence of endocarditis.