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Streptococcal Gangrene

Streptococcal Gangrene Abstract Although hemolytic Streptococcus gangrene is an uncommon disease, it is a distinct entity nevertheless. Its first clear description was provided by Meleney1 in his 1924 report of 20 patients treated in China. Later the same author2 reported 11 cases that he had observed within a period of 4 years in this country. Characteristics Although gangrene of the skin often is present in patients afflicted with this disease, it was noted by McCafferty and Lyons3 and by Wilson4 that necrosis of the superficial fascia is the essential lesion; and they preferred the designation "suppurative or necrotizing fasciitis." They stressed the fact that often early recognition and treatment could prevent the associated cutaneous gangrene.In the typical case of streptococcal gangrene there is a history of relatively minor trauma such as a small laceration of the skin, an insect bite, a puncture left by hypodermic injection, or a References 1. Meleney, F. L.: Hemolytic Streptococcus Gangrene , Arch. Surg. 9:317-364 ( (Sept.) ) 1924.Crossref 2. Meleney, F. L.: Hemolytic Streptococcus Gangrene: Importance of Early Diagnosis and Early Operation , J.A.M.A. 92:2009-2012 ( (June 15) ) 1929.Crossref 3. McCafferty, E. L., Jr., and Lyons, C.: Suppurative Fasciitis as Essential Feature of Hemolytic Streptococcus Gangrene: With Notes on Fasciotomy and Early Wound Closure as Treatment of Choice , Surgery 24:438-442 ( (Aug.) ) 1948. 4. Wilson, B.: Necrotizing Fasciitis , Amer. Surg. 18:416-431 ( (Apr.) ) 1952. 5. Meleney, F. L.: A Differential Diagnosis Between Certain Types of Infectious Gangrene of the Skin: With Particular Reference to Hemolytic Streptococcus Gangrene and Bacterial Synergistic Gangrene , Surg. Gynec. Obstet. 56:847-867 ( (May) ) 1933. 6. Meleney, F. L.: Hemolytic Streptococcus Gangrene Following the Administration of Scarlet Fever Antitoxin , Ann. Surg. 91:287-289 ( (Feb.) ) 1930.Crossref 7. Allen, A. C.: The Skin: A Clinicopathologic Treatise , St. Louis, The C. V. Mosby Company, 1954, p. 350. 8. White, W. L.: Hemolytic Streptococcus Gangrene: A Report of Seven Cases , Plast. Reconstr. Surg. 11:1-14 ( (Jan.) ) 1953.Crossref 9. Kuharic, H. A.; Roberts, C. E., Jr., and Kirby, W. M. M.: Tetracycline Resistance of Group A Beta Hemolytic Streptococci , J.A.M.A. 174:1779-1782 ( (Dec. 3) ) 1960.Crossref 10. Jackson, D. M.; Lowbury, E. J. L., and Topley, E.: Pseudomonas Pyocyanea in Burns: Its Role as a Pathogen, and the Value of Local Polymyxin Therapy , Lancet 2:137-147 ( (July 28) ) 1951.Crossref 11. Brown, J. B., and McDowell, F.: Skin Grafting , Ed. 2, Philadelphia, J. B. Lippincott, 1949, p. 291. 12. Moore, F. D.: Metabolic Care of the Surgical Patient , Philadelphia, W. B. Saunders Company, 1959, pp. 915-920. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Streptococcal Gangrene

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References (12)

Publisher
American Medical Association
Copyright
Copyright © 1962 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1962.01310060105019
Publisher site
See Article on Publisher Site

Abstract

Abstract Although hemolytic Streptococcus gangrene is an uncommon disease, it is a distinct entity nevertheless. Its first clear description was provided by Meleney1 in his 1924 report of 20 patients treated in China. Later the same author2 reported 11 cases that he had observed within a period of 4 years in this country. Characteristics Although gangrene of the skin often is present in patients afflicted with this disease, it was noted by McCafferty and Lyons3 and by Wilson4 that necrosis of the superficial fascia is the essential lesion; and they preferred the designation "suppurative or necrotizing fasciitis." They stressed the fact that often early recognition and treatment could prevent the associated cutaneous gangrene.In the typical case of streptococcal gangrene there is a history of relatively minor trauma such as a small laceration of the skin, an insect bite, a puncture left by hypodermic injection, or a References 1. Meleney, F. L.: Hemolytic Streptococcus Gangrene , Arch. Surg. 9:317-364 ( (Sept.) ) 1924.Crossref 2. Meleney, F. L.: Hemolytic Streptococcus Gangrene: Importance of Early Diagnosis and Early Operation , J.A.M.A. 92:2009-2012 ( (June 15) ) 1929.Crossref 3. McCafferty, E. L., Jr., and Lyons, C.: Suppurative Fasciitis as Essential Feature of Hemolytic Streptococcus Gangrene: With Notes on Fasciotomy and Early Wound Closure as Treatment of Choice , Surgery 24:438-442 ( (Aug.) ) 1948. 4. Wilson, B.: Necrotizing Fasciitis , Amer. Surg. 18:416-431 ( (Apr.) ) 1952. 5. Meleney, F. L.: A Differential Diagnosis Between Certain Types of Infectious Gangrene of the Skin: With Particular Reference to Hemolytic Streptococcus Gangrene and Bacterial Synergistic Gangrene , Surg. Gynec. Obstet. 56:847-867 ( (May) ) 1933. 6. Meleney, F. L.: Hemolytic Streptococcus Gangrene Following the Administration of Scarlet Fever Antitoxin , Ann. Surg. 91:287-289 ( (Feb.) ) 1930.Crossref 7. Allen, A. C.: The Skin: A Clinicopathologic Treatise , St. Louis, The C. V. Mosby Company, 1954, p. 350. 8. White, W. L.: Hemolytic Streptococcus Gangrene: A Report of Seven Cases , Plast. Reconstr. Surg. 11:1-14 ( (Jan.) ) 1953.Crossref 9. Kuharic, H. A.; Roberts, C. E., Jr., and Kirby, W. M. M.: Tetracycline Resistance of Group A Beta Hemolytic Streptococci , J.A.M.A. 174:1779-1782 ( (Dec. 3) ) 1960.Crossref 10. Jackson, D. M.; Lowbury, E. J. L., and Topley, E.: Pseudomonas Pyocyanea in Burns: Its Role as a Pathogen, and the Value of Local Polymyxin Therapy , Lancet 2:137-147 ( (July 28) ) 1951.Crossref 11. Brown, J. B., and McDowell, F.: Skin Grafting , Ed. 2, Philadelphia, J. B. Lippincott, 1949, p. 291. 12. Moore, F. D.: Metabolic Care of the Surgical Patient , Philadelphia, W. B. Saunders Company, 1959, pp. 915-920.

Journal

Archives of Surgery – American Medical Association

Published: Dec 1, 1962

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