Necrotizing fasciitis and necrotizing pneumonia caused by Streptococcus pyogenes after intramuscular injection in a diabetic patient: A case report

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ALKAN ÇEVİKER S., ELMASLAR MERT H. T., Yıldız H. İ., Yıldız E.

Demiroglu Science University Florence Nightingale Journal of Medicine, cilt.6, sa.1, ss.4-7, 2020 (Hakemli Dergi)

Özet

ABSTRACT Necrotizing fasciitis (NF) is the progressive necrosis of the skin and fascia and has morbidity and mortality rates of 70‐80%. The main causes of mortality are septic shock, multiorgan failure, and delay in diagnosis and treatment. Microorganisms responsible for NF are often group A Streptococci, Clostridium, and Bacteroides fragilis. Necrotizing fasciitis is a rare, life threatening soft tissue infection that requires emergency surgery and immediate medical attention. In this case report, we present a case of NF and necrotizing pneumonia caused by Streptococcus pyogenes who was admitted to our hospital with severe leg pain after intramuscular injection into the left gluteal region three days earlier. Keywords: Necrotizing fasciitis, necrotizing pneumonia, Streptococcus pyogenes