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Updated: Nov 24, 2025

Pseudofracture: An Acute Peripheral Tissue Trauma Model
Published on: April 18, 2011
Persistent Streptococcus pyogenes infection of the forearm following blunt trauma
Erin M Cravez1, Adam Y Nasreddine1, Andrea Halim1
1Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, CT, USA.
Abstract:
Necrotizing soft tissue infections are aggressive manifestations of Streptococcus pyogenes, often described after minor skin trauma. However, a subset of infections may present without cutaneous findings. We report a case of toxic shock syndrome and recalcitrant streptococcal infection of the forearm in a healthy teenager following blunt trauma.
Insights
Necrotizing soft tissue infections caused by Streptococcus pyogenes can occur without skin injury. This case highlights toxic shock syndrome and persistent forearm infection after blunt trauma in a healthy teen.
Area of Science:
- Infectious Diseases
- Bacteriology
- Trauma Surgery
Background:
- Necrotizing soft tissue infections (NSTIs) are severe bacterial infections.
- Streptococcus pyogenes is a common cause of NSTIs, typically associated with skin trauma.
- Some NSTIs can develop without apparent cutaneous lesions.
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Etiology
Three primary contributing factors have been identified.
