Annals of Emergency Medicine
Volume 28, Issue 2 , Pages 227-230, August 1996

Rapid Identification of Group A Streptococcus as the Cause of Necrotizing Fasciitis☆☆

Received 19 September 1995; received in revised form 17 January 1996; accepted 1 February 1996.

Abstract 

Group A β-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. [Ault MJ, Geiderman J, Sokolov R: Rapid identification of group A streptococcus as the cause of necrotizing fasciitis. Ann Emerg Med August 1996;28:227-230.]

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 From the CSMC Research Institute* and the Division of General Internal Medicine, Department of Emergency Medicine§, and Division of Infectious Diseases Cedar-Sinai Medical Center, Los Angeles, California.

☆☆ Address for reprints: Joel Geiderman, MD, CSMC Research Institute, Department of Emergency Medicine, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Room ER TRLR, Los Angeles, California 90048

 Reprint no. 47/1/74643

PII: S0196-0644(96)70065-3

Annals of Emergency Medicine
Volume 28, Issue 2 , Pages 227-230, August 1996