Callister M E, Wall R A
Department of Microbiology, Northwick Park Hospital, Harrow, London, UK.
Scand J Infect Dis. 2001;33(10):771-2. doi: 10.1080/003655401317074608.
We present a fatal case of descending necrotizing mediastinitis secondary to group A Streptococcus (serotype M1T1). Group A Streptococcus is a well-described cause of necrotizing fasciitis, but there have only been 4 previous cases documenting its involvement in descending necrotizing mediastinitis. This is the first case report to describe involvement of the M1 serotype in this condition.