“…Macrolides represent a good alternative in the treatment of S. pyogenes infections in patients who are allergic to penicillin or its derivates [1,2]. Unfortunately, macrolide-resistant S. pyogenes have been isolated in many countries, including Europe and Asia [3][4][5][6]; in Italy the rate of erythromycin resistance in group A streptococci (GAS), which notably increased in the 1990s, is now 25% [7,8].…”