Journal Article

The Initial Outpatient-Physician Encounter in Group A Streptococcal Necrotizing Fasciitis

Alan L. Bisno, Franklin R. Cockerill and Carmen T. Bermudez

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 31, issue 2, pages 607-608
Published in print August 2000 | ISSN: 1058-4838
Published online August 2000 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/313980
The Initial Outpatient-Physician Encounter in Group A Streptococcal Necrotizing Fasciitis

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Of 15 patients in whom the diagnosis of streptococcal necrotizing fasciitis was missed at initial outpatient evaluation, 8 died. Although influenza-like and gastrointestinal symptoms were common, the most consistent clinical clue was unrelenting pain out of proportion to the physical findings. Necrotizing fasciitis should be considered in patients presenting with the latter complaint, even if there is only mild or no fever or erythema.

Journal Article.  1523 words.  Illustrated.

Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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