TY - JOUR
T1 - Magnetic resonance imaging in the early diagnosis of group a β streptococcal necrotizing fasciitis
T2 - A case report
AU - Drake, David B.
AU - Woods, Julia A.
AU - Bill, Timothy J.
AU - Kesser, Bradley W.
AU - Wenger, Mark A.
AU - Neal, Jeffrey G.
AU - Edlich, Richard F.
PY - 1998/5
Y1 - 1998/5
N2 - 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.
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.
KW - Clindamycin group A β streptococcal infection
KW - Magnetic resonance imaging
KW - Necrotizing fasciitis
KW - Skin sparing
KW - Streptococcal toxic shock syndrome
KW - Streptococcus pyogenes
UR - http://www.scopus.com/inward/record.url?scp=0032076135&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0032076135&partnerID=8YFLogxK
U2 - 10.1016/S0736-4679(98)00013-4
DO - 10.1016/S0736-4679(98)00013-4
M3 - Article
C2 - 9610967
AN - SCOPUS:0032076135
SN - 0736-4679
VL - 16
SP - 403
EP - 407
JO - Journal of Emergency Medicine
JF - Journal of Emergency Medicine
IS - 3
ER -