Necrotizing streptococcal myositis of an extremity

A rare case report

Erik Anton Hasenboehler, Patrick J. McNair, Edmund B. Rowland, Jon M. Burch

Research output: Contribution to journalArticle

Abstract

Necrotizing myositis is a severe and very rare streptococcal soft tissue infection involving the superficial fascia and muscle. Its clinical symptoms are nonspecific until the appearance of a fulminant clinical course with soft tissue destruction and septic shock. A high mortality and morbidity rate has been reported in the few cases over the last century. Despite several attempts to better define the different entities causing this necrotizing soft tissue infection, no clear treatment has been outlined. We present the case of a 47-year-old woman who had an acute necrotizing myositis after a stab wound. The diagnosis of necrotizing myositis was only established after surgical treatment with a pathology report. We reviewed the literature to highlight the clinical difficulty of a preoperative diagnosis and surgical treatment.

Original languageEnglish (US)
JournalJournal of Orthopaedic Trauma
Volume25
Issue number3
DOIs
StatePublished - Mar 2011
Externally publishedYes

Fingerprint

Myositis
Soft Tissue Infections
Extremities
Stab Wounds
Subcutaneous Tissue
Septic Shock
Therapeutics
Pathology
Morbidity
Muscles
Mortality

Keywords

  • Necrotizing myositis

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Necrotizing streptococcal myositis of an extremity : A rare case report. / Hasenboehler, Erik Anton; McNair, Patrick J.; Rowland, Edmund B.; Burch, Jon M.

In: Journal of Orthopaedic Trauma, Vol. 25, No. 3, 03.2011.

Research output: Contribution to journalArticle

Hasenboehler, Erik Anton ; McNair, Patrick J. ; Rowland, Edmund B. ; Burch, Jon M. / Necrotizing streptococcal myositis of an extremity : A rare case report. In: Journal of Orthopaedic Trauma. 2011 ; Vol. 25, No. 3.
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