A Case of Streptococcal Fasciitis Developing Secondary to Trauma and Progressing with Erythema Multiforme

Abstract

Necrotizing fasciitis (NF) is a serious soft tissue infection that affects the skin, subcutaneous tissue, and fascia and progresses with rapidly spreading inflammation, thrombosis, and necrosis. Although NF can affect any part of the body, it mostly affects the extremities. 1 Group A beta-hemolytic streptococci and Staphylococcus aureus have been reported as the most common causative agents of NF. [2][3][4] Erythema multiforme (EM) is a hypersensitivity reaction characterized by discrete targetoid lesions and may involve mucosal and cutaneous areas. Infections and some drugs play a role in its etiology, most of the cases are due to an unidentified cause. 5