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Spontaneous streptococcal gangrenous myositis: survival with early debridement
1Department of Internal Medicine, College of Medicine, University of Iowa Hospitals and Clinics, Iowa City 52242.
Southern Medical Journal
|July 1, 1989
Abstract:
Spontaneous gangrenous myositis caused by Streptococcus pyogenes is usually fatal, but no longer uniformly so. There appears to be a spectrum of disease due to beta-hemolytic streptococci, from necrotizing fasciitis to pyomyositis to spontaneous gangrenous myositis. Survival is possible with early surgical debridement, reexploration at 24 to 36 hours, and intensive supportive care.
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