T. Simonart et al., 5 NEW CASES OF GROUP-A BETA-HEMOLYTIC STR EPTOCOCCUS NECROTIZING FASCIITIS IN THE BRUSSELS AREA, Annales de dermatologie et de venereologie, 120(6-7), 1993, pp. 441-443
In the Brussels area five cases of necrotizing fasciitis occurred duri
ng the past two years in patients devoid of any pathology likely to lo
wer the immune defence mechanisms. Alcoholism and the use of non-stero
idal anti-inflammatory drugs seem to act as contributory factors. Necr
otizing fasciitis develops alone or as complication of a pre-existent
dermo-hypodermic infection. A massive use of antibiotics and a wide su
rgical slitting up failed to prevent a fatal issue in all five patient
s. Extremely early massive surgery remains vital in this disease.