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  • Title: Group A streptococcal necrotizing fasciitis after varicella: report of two cases.
    Author: Lin PC, Lee MJ, Yang W, Hwang CC.
    Journal: Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi; 1998; 39(6):415-8. PubMed ID: 9926519.
    Abstract:
    The most common complication in children with varicella is cutaneous superimposed infection with pyogenic bacteria. The association between varicella and group A beta-hemolytic streptococci (GABHS) necrotizing fasciitis has been recorded for over 50 years. Two cases with the specific problems are presented here together with a review of the literature. This infection is caused by GABHS superinfection of the skin lesions due to chickenpox. It can be unrecognized or late-diagnosed, with fatal consequences. Because of prompt recognition and aggressive surgical and medical treatment, the two patients survived without loss of the affected limb.
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