title: [Group a streptococcal necrotizing fasciitis of the genital area (Fournier's gangrene): a case report].
abstract: A necrotizing fasciitis especially caused by group A streptococcal infection is a life-threatening disease. This infection cause death due to septic shock and multiple organ failure in a short time without the immediate and adequate treatment. Currently a rapid test kit for streptococcal pharyngitis (strep A) is useful for prediction of group A streptococcal infection. We here demonstrate a 61 years old man's case of life-saved necrotizing fasciitis in genital area (Fournier's gangrene) by group A streptococcus infection, and usefulness of this kit for rapid diagnosis, aggressive debridement, and selection of adequate antibiotics.
authors.affiliation: Department of Urology, Kameda Medical Center.
authors.forename: Atsuhiko
authors.initials: A
authors.lastname: Ochi
authors.forename: Makito
authors.initials: M
authors.lastname: Naoi
authors.forename: Noritoshi
authors.initials: N
authors.lastname: Enatsu
authors.forename: Akira
authors.initials: A
authors.lastname: Fujisaki
authors.forename: Satoshi
authors.initials: S
authors.lastname: Funada
authors.forename: Koichiro
authors.initials: K
authors.lastname: Suzuki
authors.forename: Naoki
authors.initials: N
authors.lastname: Shiga
authors.forename: Tomonori
authors.initials: T
authors.lastname: Ota
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kuji
authors.forename: Naoto
authors.initials: N
authors.lastname: Hosokawa
authors.forename: Kentaro
authors.initials: K
authors.lastname: Iwata
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D018934:Fournier Gangrene / Q000175:diagnosis* / Q000628:therapy*; D005832:Genital Diseases, Male / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000628:therapy*; D013297:Streptococcus pyogenes
chemical_list: D000900:Anti-Bacterial Agents