Necrotizing fasciitis and sepsis from group a streptococcus
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Necrotizing fasciitis (NF) is a rare superficial fascia and subcutaneous tissue infection which may take a lifethreatening course with systemic toxicity and a high mortality rate which can exceed 5% to 12%.

Necrotizing fasciitis can manifest as two types. Type I is a synergistic polymicrobial infection of both aerobes and anaerobes (mostly, S. aureus, Streptococci, Enterocci, E. coli, B. fragilis, Clostridia) most common in patients with diabetes, peripheral vascular disease and after operations. Type II is a monomicrobial infection of group A streptococcus (Streptococcus pyogenes) and less frequently methicillinresistant Staphylococcus aureus (MRSA) seen in patients without underlying comorbidities. Group A Streptococcus (GAS) postpartum infections remain the most common cause of severe maternal postpartum infections and death worldwide. The scenario in the obstetric population is further complicated by associated comorbidities such as diabetes mellitus, malnutrition and anaemia. This article presents a case of necrotizing fasciitis and sepsis from Group A Streptococcus following Caesarean section...

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