Anderson J F, Cunha B A
Infectious Disease Division, Winthrop-University Hospital, Mineola, NY 11501, USA.
Heart Lung. 1999 May-Jun;28(3):219-21. doi: 10.1016/s0147-9563(99)70062-2.
Group A streptococci are common colonizers of the skin and upper respiratory tract. Serious infections of the respiratory tract as well as the skin and soft tissue are common. Highly virulent Group A streptococci are not infrequently the cause of invasive, life-threatening infections. Necrotizing fasciitis is uncommon and rarely the result of Group A streptococci. Necrotizing fasciitis of the psoas from Group A streptococci has been reported as a complication in patients with colon cancer perforation or peritonitis. We report the first case of Group A streptococcal necrotizing fasciitis of the psoas muscle not associated with peritonitis or colon perforation.