| Group B streptococcal necrotizing fasciitis and streptococcal toxic shock-like syndrome in adults. | |
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MedLine Citation:
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PMID: 9701105 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Necrotizing fasciitis, which is a severe and uncommon infection involving the subcutaneous tissues, is usually caused by group A streptococci. To our knowledge, however, group B streptococci (Streptococcus agalactiae) have been reported to cause necrotizing fasciitis in only 4 instances (2 involving neonates) over the past 4 decades. We report 3 cases of group B streptococcal necrotizing fasciitis in adults that occurred in southern Ontario and Quebec within a 10-month period. All 3 patients had significant underlying illness, and all required surgical debridement in addition to antibiotic therapy. One of the cases fulfilled the criteria for streptococcal toxic shock-like syndrome. Group B streptococcus has been recognized as a frequent cause of serious disease in adults. It has become evident over the past decade that invasive streptococcal infections are on the increase. We speculate that group B streptococcus has recently acquired an increased ability to cause necrotizing fasciitis and suggest that this may represent the emergence of a new clinical syndrome in adults. |
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Authors:
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M A Gardam; D E Low; R Saginur; M A Miller |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Archives of internal medicine Volume: 158 ISSN: 0003-9926 ISO Abbreviation: Arch. Intern. Med. Publication Date: 1998 Aug 10-24 |
Date Detail:
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Created Date: 1998-09-03 Completed Date: 1998-09-03 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 0372440 Medline TA: Arch Intern Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1704-8 Citation Subset: AIM; IM |
Affiliation:
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Department of Microbiology, Sir Mortimer B. Davis-Jewish General Hospital, McGill University, Montreal, Quebec, Canada. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Fasciitis, Necrotizing / epidemiology*, therapy Female Humans Male Middle Aged Ontario / epidemiology Quebec / epidemiology Shock, Septic / epidemiology, microbiology* Streptococcus agalactiae / isolation & purification* |
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