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February 1972

Anaerobic Streptococcal Infections Simulating Gas Gangrene

Author Affiliations

St. Louis
From the departments of surgery (Drs. Anderson and Jaffe) and medicine, (Dr. Marr) Washington University School of Medicine, and the Washington University Surgical and Medical Services, St. Louis City Hospital, St. Louis.

Arch Surg. 1972;104(2):186-189. doi:10.1001/archsurg.1972.04180020066012

Three cases of anaerobic streptococcal infections simulating gas gangrene occurred. Gram stains of necrotic tissue of pus prior to or at the time of surgery can distinguish these two entities. Conservative debridement of anaerobic streptococcal infection is important. Organisms recovered from all three patients proved resistant to penicillin. The importance of this report lies in the observation that anaerobic streptococcal myonecrosis and cellulitis may not be as unusual as previously thought.

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