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Report of a Case and Review of the Literature

John Riefler III, MD; Abdolghader Molavi, MD; David Schwartz, MD; Mark DiNubile, MD

Arch Intern Med. 1988;148(3):727-729.

Abstract
• Necrotizing fasciitis is an uncommon severe infection involving subcutaneous tissues and advancing along fascial planes. Group B streptococcal infections occur disproportionately in diabetics and pregnant women. Although fasciitis secondary to group B streptococcus has been described in infants and adult women in the postpartum period, we report the first case, to our knowledge, of group B streptococcal necrotizing fasciitis in an adult diabetic unrelated to obstetric complications.

(Arch Intern Med 1988;148:727-729)

Author Affiliations
From the Division of Infectious Disease (Drs Riefler and Molavi) and the Department of Pathology (Dr Schwartz), Hahnemann University School of Medicine, Philadelphia, and the Division of Infectious Disease, Department of Medicine; Cooper Hospital/University Medical Center, Robert Wood Johnson Medical School, Camden, NJ (Dr DiNubile).

Footnotes
Accepted for publication Oct 21, 1987.

Reprint requests to Department of Medicine, Cooper Hospital/University Medical Center, Three Cooper Plaza, Camden, NJ 08103 (Dr DiNubile).

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