Group G streptococcus leading to necrotizing soft tissue infection after left lower extremity radiofrequency venous ablation

A 73-year-old morbidly obese woman developed a severe group G Streptococcus (GGS) necrotizing soft tissue infection (NSTI), superimposed by toxic shock-like syndrome after undergoing radiofrequency venous ablation of her left lower extremity. NSTI secondary to GGS are relatively uncommon, with only...

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Main Authors: Saurabh Gupta, MD, Nazish Mansuri, BS, Gopal Kowdley, MD, PhD
Format: Article
Language:English
Published: Elsevier 2019-06-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428718301424
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author Saurabh Gupta, MD
Nazish Mansuri, BS
Gopal Kowdley, MD, PhD
author_facet Saurabh Gupta, MD
Nazish Mansuri, BS
Gopal Kowdley, MD, PhD
author_sort Saurabh Gupta, MD
collection DOAJ
description A 73-year-old morbidly obese woman developed a severe group G Streptococcus (GGS) necrotizing soft tissue infection (NSTI), superimposed by toxic shock-like syndrome after undergoing radiofrequency venous ablation of her left lower extremity. NSTI secondary to GGS are relatively uncommon, with only nine cases described in the literature. We present a case of GGS NSTI, a debilitating wound infection, occurring after radiofrequency venous ablation. Early identification and treatment are imperative to prevent mortality from NSTI and care must be taken when selecting patients for percutaneous endovascular ablation as they are at risk for such infections. Keywords: Venous, Ablation, Necrotizing, Infection, Obesity
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spelling doaj.art-38daaf75353547f4929c0831dfad6e952022-12-21T18:02:27ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872019-06-0152110112Group G streptococcus leading to necrotizing soft tissue infection after left lower extremity radiofrequency venous ablationSaurabh Gupta, MD0Nazish Mansuri, BS1Gopal Kowdley, MD, PhD2Correspondence: Saurabh Gupta, MD, Department of Surgery, Saint Agnes Hospital Center, 900 S Caton Ave, Baltimore, MD 21229; Department of Surgery, Saint Agnes Hospital Center, Baltimore, MdDepartment of Surgery, Saint Agnes Hospital Center, Baltimore, MdDepartment of Surgery, Saint Agnes Hospital Center, Baltimore, MdA 73-year-old morbidly obese woman developed a severe group G Streptococcus (GGS) necrotizing soft tissue infection (NSTI), superimposed by toxic shock-like syndrome after undergoing radiofrequency venous ablation of her left lower extremity. NSTI secondary to GGS are relatively uncommon, with only nine cases described in the literature. We present a case of GGS NSTI, a debilitating wound infection, occurring after radiofrequency venous ablation. Early identification and treatment are imperative to prevent mortality from NSTI and care must be taken when selecting patients for percutaneous endovascular ablation as they are at risk for such infections. Keywords: Venous, Ablation, Necrotizing, Infection, Obesityhttp://www.sciencedirect.com/science/article/pii/S2468428718301424
spellingShingle Saurabh Gupta, MD
Nazish Mansuri, BS
Gopal Kowdley, MD, PhD
Group G streptococcus leading to necrotizing soft tissue infection after left lower extremity radiofrequency venous ablation
Journal of Vascular Surgery Cases and Innovative Techniques
title Group G streptococcus leading to necrotizing soft tissue infection after left lower extremity radiofrequency venous ablation
title_full Group G streptococcus leading to necrotizing soft tissue infection after left lower extremity radiofrequency venous ablation
title_fullStr Group G streptococcus leading to necrotizing soft tissue infection after left lower extremity radiofrequency venous ablation
title_full_unstemmed Group G streptococcus leading to necrotizing soft tissue infection after left lower extremity radiofrequency venous ablation
title_short Group G streptococcus leading to necrotizing soft tissue infection after left lower extremity radiofrequency venous ablation
title_sort group g streptococcus leading to necrotizing soft tissue infection after left lower extremity radiofrequency venous ablation
url http://www.sciencedirect.com/science/article/pii/S2468428718301424
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