Letter
Necrotising fasciitis
The need to distinguish between group A streptococcus and polymicrobial causes in necrotising fasciitis
Cite this as:
BMJ
2012;345:e6537
- Daniel R Gibney, medical student1,
- John Cheesbrough, consultant microbiologist1
- 1Royal Preston Hospital, Lancashire Teaching Hospitals, Preston PR2 9HT, UK
- daniel.gibney{at}student.manchester.ac.uk
Sultan and colleagues do not distinguish between classic group A streptococcus (GAS) necrotising fasciitis and polymicrobial (predominantly Gram negative and anaerobic) causes typified by Fournier’s or gas gangrene.1 2 3 This distinction is important because risk factors, presentation, and treatment options differ.2 People with diabetes and injecting drug users are prone to …
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