title: Group A beta-hemolytic streptococcal glossal necrotizing myositis--case report and review.
abstract: We report the first case of glossal necrotizing myositis by group A beta-hemolytic Streptococcus in an 8-year-old girl on chronic nonsteroidal anti-inflammatory drugs, immunomodulators, and steroids for juvenile rheumatoid arthritis. Treatment included partial glossectomy and parenteral antibiotics. After a critical course, full recovery ensued. The subject of necrotizing myositis is reviewed.
authors.affiliation: Department of Emergency Medicine, Tufts University School of Medicine, Boston, Massachusetts, USA. Robert.Baevsky@bhs.org
authors.forename: Robert H
authors.initials: RH
authors.lastname: Baevsky
authors.forename: Jay T
authors.initials: JT
authors.lastname: Ishida
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Lieberman
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D002648:Child; D004826:Epiglottitis; D005260:Female; D005927:Glossectomy; D006801:Humans; D009220:Myositis / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy*; D009336:Necrosis / Q000175:diagnosis / Q000628:therapy; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy*; D013297:Streptococcus pyogenes / Q000302:isolation & purification*
chemical_list: D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal