Intended for healthcare professionals

Letters Necrotising fasciitis

The need to distinguish between group A streptococcus and polymicrobial causes in necrotising fasciitis

BMJ 2012; 345 doi: (Published 02 October 2012) Cite this as: BMJ 2012;345:e6537
  1. Daniel R Gibney, medical student1,
  2. John Cheesbrough, consultant microbiologist1
  1. 1Royal Preston Hospital, Lancashire Teaching Hospitals, Preston PR2 9HT, UK
  1. daniel.gibney{at}

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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