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Interact Cardiovasc Thorac Surg. 2010 Mar;10(3):481-2. doi: 10.1510/icvts.2009.219485. Epub 2009 Dec 21.

Necrotizing fasciitis following drainage of Streptococcus milleri empyema.

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Department of Thoracic Surgery, St. James's Hospital, Leeds, UK.


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.

[Indexed for MEDLINE]

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