title: Life-threatening streptococcal myonecrosis complicating primary wound closure after pilonidal sinus excision.
abstract: We describe a case of anaerobic streptococcal myonecrosis as a rare complication after pilonidal sinus excision with primary closure. The recognition of the disease in any patient who has early septic deterioration after a surgical procedure requires aggressive management for survival.
authors.affiliation: Military Medical Academy, Department of General Surgery, Sofia, Bulgaria.
authors.forename: T A
authors.initials: TA
authors.lastname: Panov
authors.forename: K T
authors.initials: KT
authors.lastname: Kjossev
authors.forename: J E
authors.initials: JE
authors.lastname: Losanoff
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D018482:Muscle, Skeletal / Q000473:pathology*; D009336:Necrosis; D010864:Pilonidal Sinus / Q000601:surgery*; D013290:Streptococcal Infections / Q000382:microbiology / Q000473:pathology / Q000628:therapy*; D013530:Surgical Wound Infection / Q000382:microbiology / Q000473:pathology / Q000628:therapy*