Paediatric case of invasive group A streptococcal necrotising myositis: diagnostic challenges and lessons learned

Abstract

Necrotising myositis is a rare but devastating consequence of invasive group A streptococcal infection. Early presentation could be non-specific, and clinicians might have a low index of clinical suspicion due to the rarity of cases. Prompt recognition and early aggressive surgical management are the cornerstones of treatment to reduce morbidity and mortality. We report the case of a child aged 5 years with necrotising myositis and highlight the successes and potential pitfalls in the treatment of this life-threatening condition.