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Case Reports
. 1989 Jul;82(7):900-2.
doi: 10.1097/00007611-198907000-00025.

Spontaneous streptococcal gangrenous myositis: survival with early debridement

B N Doebbeling  1 , R P Wenzel
Affiliations
Case Reports

Spontaneous streptococcal gangrenous myositis: survival with early debridement

B N Doebbeling et al. South Med J. 1989 Jul.

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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