A Case of Group A beta-hemolytic Streptococcal Necrotizing Fasciitis.
- Author:
Joon Hong PARK
;
Jung Youl LEE
;
Hye Jin LEE
;
Young Lip PARK
;
Hyun CHUNG
;
Kyu Uang WHANG
- Publication Type:Case Report
- MeSH:
Acupuncture Therapy;
Blister;
Debridement;
Drainage;
Edema;
Elbow;
Fascia;
Fasciitis, Necrotizing*;
Gram-Negative Bacteria;
Humans;
Male;
Middle Aged;
Necrosis;
Pliability;
Skin;
Streptococcus;
Subcutaneous Fat;
Subcutaneous Tissue;
Transcutaneous Electric Nerve Stimulation;
Upper Extremity
- From:Korean Journal of Dermatology
1998;36(3):515-519
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Necrotizing fasciitis is a life-threatening, invasive soft-tissue infection that is characterized by widespread, rapidly developing necrosis of the subcutaneous tissue and fascia with relative sparing of the skin and underlying muscle. In type I necrotizing fasciitis, anaerobes and gram negative bacteria are predominant; in the type II form, Group A p-hemolytic streptococcus is a major etiologic agent. It needs immediate surgical intervention for a favorable outcome. A 64-year-old male presented with extremely painful, erythematous, symmetric, tense swelling with yellowish or hemorrhagic blisters on his right upper extremity. Two weeks before the admission, pain on his elbow made him take acupuncture therapy, There was severe tenderness, pitting edema, and his right elbow showed limited flexibility. The patient underwent wide debridement and drainage immediately. Liquefactive necrosis was seen in the subcutaneous fat and superficial fascia without muscular involvement. Group A B-hemolytic streptococci were grown from the tissue culture specimen.
