Rapid identification of group A Streptococcus as the cause of necrotizing fasciitis

被引:19
作者
Ault, MJ [1 ]
Geiderman, J [1 ]
Sokolov, R [1 ]
机构
[1] CEDARS SINAI MED CTR,RES INST,DEPT EMERGENCY MED,LOS ANGELES,CA 90048
关键词
D O I
10.1016/S0196-0644(96)70065-3
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Group A beta-hemolytic Streptococcus pyogenes (GAS) causes a spectrum of highly aggressive, invasive infections. We report two cases of necrotizing fasciitis in which GAS was identified as the presumptive causative organism with the use of the standard rapid streptococcal diagnostic kit. We believe the rapid test kits may be a useful adjunct in the diagnosis and treatment of this catastrophic illness and may play a role in limiting the spread of infection.
引用
收藏
页码:227 / 230
页数:4
相关论文
共 16 条
[1]  
CAREY RD, 1991, NEW ZEAL MED J, V104, P401
[2]   RAPIDLY FATAL NECROTIZING FASCIITIS CAUSED BY STREPTOCOCCUS-PYOGENES [J].
DONALDSON, PMW ;
NAYLOR, B ;
LOWE, JW ;
GOULDESBROUGH, DR .
JOURNAL OF CLINICAL PATHOLOGY, 1993, 46 (07) :617-620
[3]   STREPTOCOCCUS-PYOGENES OUTBREAK IN A LONG-TERM CARE FACILITY [J].
HARKNESS, GA ;
BENTLEY, DW ;
MOTTLEY, M ;
LEE, J .
AMERICAN JOURNAL OF INFECTION CONTROL, 1992, 20 (03) :142-148
[4]  
HUDSON DA, 1991, S AFR MED J, V79, P329
[5]   RAPID ANTIGEN-DETECTION IN THE DIAGNOSIS OF GROUP-A STREPTOCOCCAL PYODERMA - INFLUENCE OF A LEARNING-CURVE EFFECT ON SENSITIVITY AND SPECIFICITY [J].
KAPLAN, EL ;
REID, HFM ;
JOHNSON, DR ;
KUNDE, CA .
PEDIATRIC INFECTIOUS DISEASE JOURNAL, 1989, 8 (09) :591-593
[6]  
KOCKA FE, 1987, J CLIN MICROBIOL, V25, P737
[7]   CHANGING EPIDEMIOLOGY OF GROUP-A STREPTOCOCCAL INFECTIONS [J].
MARKOWITZ, M .
PEDIATRIC INFECTIOUS DISEASE JOURNAL, 1994, 13 (06) :557-560
[8]  
MCHENRY CR, 1994, AM SURGEON, V60, P490
[9]   SUPERBUG STARS IN MEDIA-MADE EPIDEMIC [J].
PINI, P .
LANCET, 1994, 343 (8910) :1376-1377
[10]   VAGINITIS CAUSED BY NUTRITIONALLY VARIANT STREPTOCOCCUS-PYOGENES [J].
PULVIRENTI, J ;
DORIGAN, F ;
CHITTOM, AL ;
KALLICK, C ;
KOCKA, FE .
EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES, 1988, 7 (01) :56-57