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Table 1 Demographic, clinical and laboratory details of 14 patients with GAS necrotising fasciitis

From: Streptococcal necrotising fasciitis from diverse strains of Streptococcus pyogenes in tropical northern Australia: case series and comparison with the literature

No

Age/Gender/Aboriginal/Year

Co-morbidities

Prior lesions

Systolic BP at presenttion (mmHg)

Creatinine (μmol/L) (NR 50–100)

Blood culture

emmST a

STSSb

1

45/F/Y/2001

Alcohol excess

Right knee abrasion

85

810

Neg

new emmST

Y

2

50/F/Y/1994

Rheumatoid arthritis

Nil

100

352

Pos

emm56

N

3

47/F/Y/2000

Hemodialysis, Hypertension

Nil

85

739

Pos

emmST3757

Y

4

38/F/Y/2001

Type 2 diabetes, Hemodialysis, Cryptococcal pneumonitis

Buttock ulcer

60

408

Pos

no sequence

Y

5

61/M/N/2001

Rheumatoid arthritis, Corticosteroid therapy, Splenectomy

Vasculitic leg ulcer

70

249

Pos

emm3.2

Y

6

60/M/N/2001

Rheumatoid arthritis, Methotrexate therapy, Pulmonary fibrosis

Leg ulcer

90

237

Neg

emm70

Y

7

27/M/N/1996

Alcohol excess

Nil

70

172

Neg

emm58

Y

8

34/F/Y/1996

SLE, Anti-Phospholipid syndrome, Corticosteroids, Renal impairment

Left thigh skin sore

100

329

Pos

emm69

N

9

44/M/Y/2000

Type 2 diabetes, Alcohol excess, Renal impairment

Wound from catfish barb

90

271

Neg

emm49.3

Y

10

27/F/N/1999

Nil

Nil

90

77

Neg

emm104

N

11

32/F/N/1999

Nil

Buttock excoriation post-cycling

100

177

Neg

emm1

N

12

59/F/N/1999

Nil

Nil

90

118

Neg

emm22

Y

13

50/M/Y/1997

Alcohol excess, Cirrhosis

Leg ulceration

100

112

Pos

emm4

N

14

61/M/N/2001

Alcohol excess, Hypertension, Gout

Ulcerated gouty tophus

90

659

Pos

emm3

Y

No

WCC/Lymph c (×10 9 /L)

Albumin (g/L) (NR 35–45)

Infection site

Time to surgery after presentation

Operation performed

Antibiotic therapy

Myo-necrosis

Died

1

5.7/0.2

21

Right leg

4 days

Debridement, Fasciotomy

Meropenem, Clindamycin

Yes

Yes

2

5.2/0.5

22

Right arm

6 days

Fasciotomy

Penicillin

Yes

Yes

3

9.6/0.3

33

Right breast/Chest wall

5 days

Debridement

Penicillin

No

Yes

4

9.3/0.4

34

Left leg/Abdominal wall

2 days

Debridement

Penicillin, Clindamycin

No

Yes

5

36.7/0.7

23

Left leg

1 day

Above knee amputation

Meropenem, Tobramycin, Clindamycin

No

No

6

23.7/0.5

29

Right leg

0 days

Below knee amputation

Cefazolin, Clindamycin

No

No

7

5.2/0.1

25

Right leg

5 days

Debridement

Penicillin, Clindamycin

No

No

8

7.0/0.3

33

Left leg/Abdominal wall

7 days

Debridement

Penicillin, Clindamycin

Yes

No

9

22.8/0.8

11

Right foot

2 days

Above knee amputation

Flucloxacillin, Metronidazole, Gentamicin

Yes

No

10

23.3/1.0

29

Left shoulder/Chest wall

6 days

Debridement

Meropenem, Clindamycin

No

No

11

21.8/0.5

17

Right leg/Buttock/Perineum

2 days

Debridement

Penicillin, Clindamycin

No

No

12

4.8/0.4

18

Left leg/Abdominal wall

2 days

Debridement

Penicillin, Clindamycin

No

No

13

10.5/0.7

21

Left leg

5 days

Debridement

Penicillin, Clindamycin

No

No

14

4.0/0.2

28

Right leg

4 days

Above knee amputation

Penicillin, Clindamycin

No

No

  1. a Emm sequence type (see methods for details)
  2. b Streptococcal toxic shock syndrome (see methods for details)
  3. c WCC-total blood white cell count (normal range <11.0 × 109/L) Lymph-blood lymphocyte count