Spontaneous Gangrenous Myositis Induced by Streptococcus pyogenes: Case Report and Review of the Literature

Yoder, Ernest L.; Méndez, José H; Khatib, Riad

doi:10.1093/clinids/9.2.382

Cited by 52 publications

(36 citation statements)

References 10 publications

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“…Pulsed field gel electrophoresis of genomic DNA cut with Sfi I gave 20 distinct banding patterns with [4][5][6][7] fragments visible in the 50-750 kb size range ( Fig. 2 …”

Section: Pulsed Field Gel Electrophoresismentioning

confidence: 99%

“…The recently reported cases in Gloucester and elsewhere in the UK resulting in substantial media attention have highlighted the ability of S. pyogenes to cause such severe infection. Common features include bacteraemia and septicaemia [2,3], disseminated intravascular coagulation [4], a toxic shock-like syndrome (TSLS) [5,6] and severe skin, soft tissue, joint and visceral infections [7,8]. Mortality rates of 3000 have been recorded.…”

Section: Introductionmentioning

confidence: 99%

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Clonal structure of invasiveStreptococcus pyogenesin Northern Scotland

et al. 1995

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SUMMARYWe have used molecular techniques to characterize 51 group A streptococci from Scotland and 17 'serious disease' isolates from other countries, in order to establish the clonal structure of invasive Streptococcus pyogenes strains circulating between 1986 and 1993. Strains were grouped by restriction endonuclease analysis, pulsed field gel electrophoresis and ribotyping patterns, and were examined for the presence of alleles of the speA gene by polymerase chain reaction and DNA sequence analysis. Serious and fatal infections in Scotland were caused by several clones. One clone (9 of 51 strains) was M type 1 and possessed the speA gene allele 2. This was the clone previously identified as causing severe infection in the USA. Another clone (5 of 51 strains) was M type 3 and had speA gene allele 3. In view of the clear association of more than one clone with severe, invasive and fatal infections, horizontal gene exchange between genotypes merits further investigation.

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“…Pulsed field gel electrophoresis of genomic DNA cut with Sfi I gave 20 distinct banding patterns with [4][5][6][7] fragments visible in the 50-750 kb size range ( Fig. 2 …”

Section: Pulsed Field Gel Electrophoresismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clonal structure of invasiveStreptococcus pyogenesin Northern Scotland

et al. 1995

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“…Adams et al (38) documented only 21 reported cases from 1900 to 1985, and Svane (39) found only four cases in more 20,000 autopsies. Severe pain may be the only early symptom, and swelling and erythema may be the only early physical findings, though muscle compartment syndromes may develop rapidly (8)(9)(10)(38)(39)(40)(41). Distinguishing streptococcal myositis from spontaneous gas gangrene caused by C. perfringens or C. septicum (42) may be difficult, though crepitus or demonstration of gas in the tissue favors clostridial infection (40).…”

Section: Streptococcal Myositismentioning

confidence: 99%

Streptococcal Toxic Shock Syndrome: Synthesis of Tumor Necrosis Factor and Interleukin-1 by Monocytes Stimulated with Pyrogenic Exotoxin A and Streptolysin O

Hackett

Stevens²

1992

Journal of Infectious Diseases

183

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“…Delayed diagnosis leads to delays in the appropriate administration of antimicrobials and the proper surgical debridement. Previous studies have suggested that a high index of suspicion may allow for the only chance of survival (11,(36)(37)(38). The patient in the present case was clinically diagnosed with intestinal perforation; however, that diagnosis was pathologically refuted by the autopsy results.…”

Section: Discussionmentioning

confidence: 48%

A Fatal Case of Streptococcal Toxic Shock Syndrome due to <i>Streptococcus dysgalactiae</i> subsp. <i>equisimilis</i> Possibly Caused by an Intramuscular Injection

et al. 2013

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An 88-year-old man died of streptococcal toxic shock syndrome due to a group G streptococcus infection that was possibly caused by an intramuscular injection given 30 hours earlier in his right deltoid muscle. The causative pathogen was later identified to be Streptococcus dysgalactiae subsp. equisimilis (stG485). Although providing intramuscular injections is an essential skill of health care workers that is performed daily worldwide, it may constitute a port of entry for pathogens via skin breaches that can cause life-threatening infections. All invasive procedures should be carefully performed, especially when immunologically compromised patients are involved.

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Spontaneous Gangrenous Myositis Induced by Streptococcus pyogenes: Case Report and Review of the Literature

Cited by 52 publications

References 10 publications

Clonal structure of invasiveStreptococcus pyogenesin Northern Scotland

Clonal structure of invasiveStreptococcus pyogenesin Northern Scotland

Streptococcal Toxic Shock Syndrome: Synthesis of Tumor Necrosis Factor and Interleukin-1 by Monocytes Stimulated with Pyrogenic Exotoxin A and Streptolysin O

A Fatal Case of Streptococcal Toxic Shock Syndrome due to <i>Streptococcus dysgalactiae</i> subsp. <i>equisimilis</i> Possibly Caused by an Intramuscular Injection

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