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If a patient's Group A strep infection goes untreated, it can develop into Rheumatic Fever. This is a serious inflammatory disease that can affect the heart, joints, and other organs. Scarlet Fever, while caused by the same bacteria, is a less severe infection characterized by a rash. Hemorrhagic Fever is caused by different types of bacteria or viruses and is not a complication of Group A strep. Pneumococcal Pneumonia is caused by a different type of bacteria and would not be a complication of untreated Group A strep.