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Elaine M. Adams, MD; Sigurdur Gudmundsson, MD; David E. Yocum, MD; Ray C. Haselby, MD; William A. Craig, MD; Walter R. Sundstrom, MD

Arch Intern Med. 1985;145(6):1020-1023.

Abstract
• Two patients had streptococcal myositis. Both patients developed extensive muscle necrosis and overwhelming sepsis after trivial skin trauma. Death occurred within 48 hours of hospital admission despite aggressive surgical and medical treatment. Review of the literature is included to highlight the fulminant nature of this unusual infection and to contrast streptococcal myositis with other soft-tissue streptococcal infections.

(Arch Intern Med 1985;145:1020-1023)

Author Affiliations
From the Department of Medicine, Loyola University Medical Center, Maywood, Ill (Dr Adams); the University of Wisconsin, Madison (Drs Gudmundsson, Craig, and Sundstrom); the William S. Middleton Memorial Veterans Administration Hospital, Madison (Drs Craig and Sundstrom); the National Institutes of Health, Bethesda, Md (Dr Yocum); and the Marshfield (Wis) Clinic (Dr Haselby).

Footnotes
Accepted for publication Oct 23, 1984.

Reprint requests to Section of Rheumatology-Immunology, Room 3661, Loyola University Medical Center, Maywood, IL 60153 (Dr Adams).

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