Advertisement
Case report| Volume 23, ISSUE 2, P134-135, 1992

Streptococcal gangrene presenting as hip pain: two case reports and review of the literature

DOI:https://doi.org/10.1016/0020-1383(92)90051-S
Streptococcal gangrene presenting as hip pain: two case reports and review of the literature
Previous ArticleABO blood groups and musculoskeletal injuries
Next Article‘Familial’ reflex sympathetic dystrophy syndrome and amputation
      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      Two cases of streptococcal gangrene are reported. Both patients, with hip pain and no obvious source of infection, presented to the same orthopaedic team within a few days. After initial treatment with NSAIDs the outcome was fatal in the cases described. A review of the literature revealed that the administration of NSAIDs may accelerate the course of the disease. The authors conclude that this very rare cause of arthralgia and malaise should be excluded before the administration of NSAIDs for such complaints.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Injury
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Register: Create an account
      Institutional Access: Sign in to ScienceDirect

      References

        • Barker F.G.
        • Leppard B.J.
        • Seal D.V.
        Streptococcal necrotising fasciitis; comparison between histological and clinical features.
        J. Clin. Pathol. 1987; 40: 335
        • Brun-Buisson C.J.L.
        • Saada M.
        • Trunet P.
        • et al.
        Haemolytic streptococcal gangrene and non-steroidal antiinflammatory drugs.
        Br. Med. J. 1985; 290: 1786
        • Frankish P.D.
        • Mason G.H.
        • Allen P.R.
        • et al.
        Acute streptococcal necrotising fasciitis.
        N. Z. Med. J. 1988; 101: 625
        • Giuliano A.
        • Lewis F.
        • Hadley K.
        • et al.
        Bacteriology of necrotizing fasciitis.
        Am. J. Surg. 1977; 134: 52
        • Krige J.E.J.
        • Spence R.A.J.
        • Potter P.C.
        • et al.
        Necrotising fasciitis after diflunisal for minor injury.
        Lancet. 1985; 2: 1432
        • MacGregor R.R.
        • Spagnuolo P.J.
        • Lentnek A.
        Inhibition of granulocyte adherence by ethanol, prednisone and aspirin measured with an assay system.
        N. Engl. J. Med. 1974; 291: 642
        • Meleney F.L.
        Haemolytic streptococcus gangrene.
        Arch. Surg. 1924; 9: 317
        • Rimailho A.
        • Riou B.
        • Richard C.
        • et al.
        Fulminant necrotising fasciitis and non-steroidal anti-inflammatory drugs.
        J. Infect. Dis. 1987; 155: 143
        • Solberg C.O.
        • Alfred C.D.
        • Hill H.R.
        Influence of phenylbutazone on leucocyte chemiluminescence and function.
        Acta Pathol. Microbiol. Immunol. Scand. 1978; 86: 165
        • Solomon L.
        Activation of latent infection by indomethacin: a report of three cases.
        Br. Med. J. 1966; 1: 961
        • Walters R.
        A fatal case of necrotizing fasciitis of the eyelid.
        Br. J. Opthalmol. 1985; 72: 428

      Article info

      Publication history

      Accepted: July 9, 1991

      Identification

      DOI: https://doi.org/10.1016/0020-1383(92)90051-S

      Copyright

      © 1992 Published by Elsevier Inc.

      ScienceDirect

      Access this article on ScienceDirect

      The content on this site is intended for healthcare professionals.


      We use cookies to help provide and enhance our service and tailor content. To update your cookie settings, please visit the Cookie Preference Center for this site.
      Copyright © 2023 Elsevier Inc. except certain content provided by third parties.


      RELX