Spontaneous streptococcal gangrenous myositis: survival with early debridement
- PMID: 2665131
- DOI: 10.1097/00007611-198907000-00025
Spontaneous streptococcal gangrenous myositis: survival with early debridement
Abstract
Spontaneous gangrenous myositis caused by Streptococcus pyogenes is usually fatal, but no longer uniformly so. There appears to be a spectrum of disease due to beta-hemolytic streptococci, from necrotizing fasciitis to pyomyositis to spontaneous gangrenous myositis. Survival is possible with early surgical debridement, reexploration at 24 to 36 hours, and intensive supportive care.
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