Spontaneous streptococcal gangrenous myositis: survival with early debridement.
Spontaneous gangrenous myositis caused by Streptococcus pyogenes is usually fatal, but no longer uniformly so. There appears to be a spectrum of disease due to beta-hemolytic streptococci, from necrotizing fasciitis to pyomyositis to spontaneous gangrenous myositis. Survival is possible with early surgical debridement, reexploration at 24 to 36 hours, and intensive supportive care.
Doebbeling
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Department of Internal Medicine, College of Medicine, University of Iowa Hospitals and Clinics, Iowa City 52242.
Wenzel
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RP
D000368:Aged; D003131:Combined Modality Therapy; D003646:Debridement; D005734:Gangrene / Q000628:therapy; D006801:Humans; D008297:Male; D009220:Myositis / Q000382:microbiology* / Q000473:pathology / Q000628:therapy; D010400:Penicillin G / Q000627:therapeutic use; D013290:Streptococcal Infections / Q000473:pathology / Q000628:therapy*; D013297:Streptococcus pyogenes / Q000302:isolation & purification
D010400:Penicillin G