hemolytic and catalase-negative bacteria (Sadam et al., 2014) produced biofilm formation on mucosal membranes facilitating their prolonged survival (Cinthia et al., 2020) like other gram positive bacteria (Mohammed and Zaid, 2024) as staphylococcus aureus (Ali and Alaa, 2022), Group A streptococcus possessed wide variety of virulence factors on their surface such as hyaluronic capsule, M protein, streptolysin O and S, streptococcal pyrogenic exotoxins A and B (Syed et al., 2020; Nikolai and Rudolf, 2021). Some exotoxin act as superantigens and trigger T-lymphocytes excessive stimulation by attaching to class II major