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  • Title: Necrotizing fasciitis following drainage of Streptococcus milleri empyema.
    Author: Tcherveniakov P, Svennevik E, Tzafetta K, Milton R.
    Journal: Interact Cardiovasc Thorac Surg; 2010 Mar; 10(3):481-2. PubMed ID: 20026487.
    Abstract:
    Streptococcus milleri (SM) is a heterogeneous group of Streptococci, which is a recognized cause of purulent infections of the mediastinal and pleural spaces. These infections are notoriously resistant and require aggressive surgical management. We present our experience with a 60-year-old patient, who developed necrotizing fasciitis of the chest wall after initial bedside drainage of a SM empyema. He required extensive debridement with significant soft tissue loss and subsequent latissimus dorsi flap reconstruction to cover the defect.
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