Magnetic Resonance Imaging in the Early Diagnosis of Group A β Streptococcal Necrotizing Fasciitis: A Case Report

Early diagnosis of invasive group A β streptococcal (GABS) infection has been achieved in a patient using magnetic resonance imaging (MRI) complemented by needle aspiration. Life-saving treatments of GABS infection that include immediate surgical debridement along with the administration of i.v. ant...

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Bibliographic Details
Published in:The Journal of emergency medicine 1998-05, Vol.16 (3), p.403-407
Main Authors: Drake, David B, Woods, Julia A, Bill, Timothy J, Kesser, Bradley W, Wenger, Mark A, Neal, Jeffrey G, Edlich, Richard F
Format: Article
Language:English
Subjects:
Bacterial diseases
Biological and medical sciences
Biopsy, Needle
clindamycin group A β streptococcal infection
Emergencies
Fasciitis, Necrotizing - diagnosis
Fasciitis, Necrotizing - therapy
Human bacterial diseases
Humans
Infectious diseases
Magnetic Resonance Imaging
Male
Medical sciences
Middle Aged
necrotizing fasciitis
skin sparing
Staphylococcal infections, streptococcal infections, pneumococcal infections
streptococcal toxic shock syndrome
Streptococcus pyogenes
Streptococcus pyogenes - isolation & purification
Time Factors
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Summary:Early diagnosis of invasive group A β streptococcal (GABS) infection has been achieved in a patient using magnetic resonance imaging (MRI) complemented by needle aspiration. Life-saving treatments of GABS infection that include immediate surgical debridement along with the administration of i.v. antibiotics, gamma globulin, and hyperbaric oxygen were then implemented successfully to prevent the development of streptococcal toxic shock syndrome. While MRI is valuable in making early diagnosis of GABS, it should not delay surgical intervention.
ISSN:0736-4679
2352-5029
DOI:10.1016/S0736-4679(98)00013-4