Magnetic resonance imaging in the early diagnosis of group a β streptococcal necrotizing fasciitis: A case report

David B. Drake; Julia A. Woods; Timothy J. Bill; Bradley W. Kesser; Mark A. Wenger; Jeffrey G. Neal; Richard F. Edlich

doi:10.1016/S0736-4679(98)00013-4

Magnetic resonance imaging in the early diagnosis of group a β streptococcal necrotizing fasciitis: A case report

David B. Drake, Julia A. Woods, Timothy J. Bill, Bradley W. Kesser, Mark A. Wenger, Jeffrey G. Neal, Richard F. Edlich

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30 Scopus citations

Abstract

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.

Original language	English
Pages (from-to)	403-407
Number of pages	5
Journal	Journal of Emergency Medicine
Volume	16
Issue number	3
DOIs	https://doi.org/10.1016/S0736-4679(98)00013-4
State	Published - May 1998

Keywords

Clindamycin group A β streptococcal infection
Magnetic resonance imaging
Necrotizing fasciitis
Skin sparing
Streptococcal toxic shock syndrome
Streptococcus pyogenes

ASJC Scopus subject areas

Emergency Medicine

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10.1016/S0736-4679(98)00013-4

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title = "Magnetic resonance imaging in the early diagnosis of group a β streptococcal necrotizing fasciitis: A case report",

abstract = "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.",

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AU - Woods, Julia A.

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AU - Kesser, Bradley W.

AU - Wenger, Mark A.

AU - Neal, Jeffrey G.

AU - Edlich, Richard F.

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AB - 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.

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KW - Necrotizing fasciitis

KW - Skin sparing

KW - Streptococcal toxic shock syndrome

KW - Streptococcus pyogenes

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Magnetic resonance imaging in the early diagnosis of group a β streptococcal necrotizing fasciitis: A case report

Abstract

Keywords

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