title: Descending necrotizing mediastinitis caused by group A streptococcus (serotype M1T1).
abstract: We present a fatal case of descending necrotizing mediastinitis secondary to group A Streptococcus (serotype M1T1). Group A Streptococcus is a well-described cause of necrotizing fasciitis, but there have only been 4 previous cases documenting its involvement in descending necrotizing mediastinitis. This is the first case report to describe involvement of the M1 serotype in this condition.
authors.affiliation: Department of Microbiology, Northwick Park Hospital, Harrow, London, UK.
authors.forename: M E
authors.initials: ME
authors.lastname: Callister
authors.forename: R A
authors.initials: RA
authors.lastname: Wall
mesh_terms: D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008480:Mediastinitis / Q000382:microbiology*; D008875:Middle Aged; D010612:Pharyngitis / Q000150:complications / Q000382:microbiology; D013290:Streptococcal Infections; D013297:Streptococcus pyogenes / Q000302:isolation & purification*