Emergence of non-group A streptococcal necrotizing diabetic foot infections.
Recently the authors have noted a disturbing trend toward an increased incidence of necrotizing infections caused by non-group A streptococcal species. This article describes the typical clinical course of such an infection. Prompt surgical intervention, coupled with an antibiotic regimen aimed at mitigating exotoxin release, may be both limb- and life-preserving.
Reyzelman
A M
AM
Department of Orthopaedics, University of Texas Health Science Center, San Antonio 78284-7776, USA.
Armstrong
D G
DG
Vayser
D J
DJ
Hadi
S A
SA
Harkless
L B
LB
Hussain
S K
SK
D000328:Adult; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D017719:Diabetic Foot / Q000150:complications*; D019115:Fasciitis, Necrotizing / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D013292:Streptococcus agalactiae