Cover Journal of the American Podiatric Medical Association
Journal of the American Podiatric Medical Association
ISSN:
8750-7315
Online Publication Date:
Jun 1998

Emergence of non-group A streptococcal necrotizing diabetic foot infections

AM Reyzelman Department of Orthopaedics, University of Texas Health Science Center, San Antonio 78284-7776, USA.

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DG Armstrong Department of Orthopaedics, University of Texas Health Science Center, San Antonio 78284-7776, USA.

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DJ Vayser Department of Orthopaedics, University of Texas Health Science Center, San Antonio 78284-7776, USA.

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SA Hadi Department of Orthopaedics, University of Texas Health Science Center, San Antonio 78284-7776, USA.

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LB Harkless Department of Orthopaedics, University of Texas Health Science Center, San Antonio 78284-7776, USA.

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SK Hussain Department of Orthopaedics, University of Texas Health Science Center, San Antonio 78284-7776, USA.

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DOI:
https://doi.org/10.7547/87507315-88-6-305
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Recently the authors have noted a disturbing trend toward an increased incidence of necrotizing infections caused by non-group A streptococcal species. This article describes the typical clinical course of such an infection. Prompt surgical intervention, coupled with an antibiotic regimen aimed at mitigating exotoxin release, may be both limb- and life-preserving.

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