The increased prevalence of severe necrotizing infections caused by non-group A strep tococci

Alexander M. Reyzelman, Benjamin A. Lipsky, Suhad A. Hadi, Lawrence B. Harkless, David G. Armstrong

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


The authors report on 20 patients who were admitted to the University of Texas Health Science Center at San Antonio during a recent 4-month period with foot infections caused predominantly by non-group A streptococci. This number of patients was significantly greater than the number admitted to the same institution with the same diagnosis during the preceding 3 years. All patients had type 2 diabetes mellitus. In each case, a rapidly spreading cellulitis followed trauma to the foot, which necessitated emergent incision and drainage. Five patients required extensive fascial and skin debridement because of soft-tissue destruction, and two patients needed below-the-knee amputation because of uncontrolled infection. These cases suggest that non-group A streptococci, like group A streptococci, can cause serious skin and soft-tissue infections in patients with diabetes that may require aggressive surgical debridement despite appropriate antibiotic therapy.

Original languageEnglish (US)
Pages (from-to)454-457
Number of pages4
JournalJournal of the American Podiatric Medical Association
Issue number9
StatePublished - Sep 1999

ASJC Scopus subject areas

  • Podiatry
  • Orthopedics and Sports Medicine


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