Persistent Streptococcus pyogenes infection of the forearm following blunt trauma

Abstract

Necrotizing soft tissue infections are aggressive manifestations of Streptococcus pyogenes , often described after minor skin trauma. However, a subset of infections may present without cutaneous findings. We report a case of toxic shock syndrome and recalcitrant streptococcal infection of the forearm in a healthy teenager following blunt trauma.

Pathology of Streptococcal Infections

“…Cocci on the pharyngeal mucosa may be activated to cause the subsequent localized or systemic infections in the carrier. Transient bacteremia originating from the pharyngeal mucosa may lead to the microbial seeding to the deep tissue [19].…”