title: Necrotizing fasciitis of the first ray caused by group A streptococcus.
abstract: Necrotizing fasciitis of the hand is a rare clinical entity, frequently with devastating functional consequences. A case of necrotizing fasciitis of the thumb and thenar eminence caused by Group A Streptococcus is reported and the management of this condition in the upper limb discussed.
authors.affiliation: Department of General Surgery, OLV van Lourdes Hospital, Waregem, Belgium. janlesaffer@hotmail.com
authors.forename: J
authors.initials: J
authors.lastname: Lesaffer
authors.forename: C
authors.initials: C
authors.lastname: Van Holder
authors.forename: L
authors.initials: L
authors.lastname: Haeck
mesh_terms: D000328:Adult; D000671:Amputation, Surgical; D003646:Debridement; D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D013297:Streptococcus pyogenes / Q000302:isolation & purification*; D013524:Surgical Flaps; D013933:Thumb / Q000382:microbiology* / Q000473:pathology / Q000601:surgery*; D014034:Toes / Q000637:transplantation