Fatal streptococcal myonecrosis (a case report)

Group  streptococci (GÂS) are rare causes of myositis and myonecrosis involving adult patients in tropical regions. Streotococcal myositis is associated with a wide clinical spectrum, ranging from a subacute localized form with good prognosis to a serious acute presentation involving rapidly progressive disease, shock, multiple organ failure and a high case fatality rate (80-100%). Ïn this paper we present a 59 years old woman who was in good health before her last 5 days. Her illness presented with a very severs progressive pain of left arm. Her conditions progressed and worsened, despite of right diagnosis and beginning of treatment she died of multi organ failure. Postmortem biopsy of primary lesion of left arm revealed a diffused muscle necrosis with scattered microbial (cocci) cluster between muscle fibers. Çulture of primary blister was sterile but streptococcus group  was grown in blood culture.