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Correspondence
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Volume 334:1478 May 30, 1996 Number 22
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Streptococcal Skin Infections

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 by Bisno, A. L.
To the Editor: In their review article on group A streptococcal infections of skin and soft tissues (Jan. 25 issue),1 Bisno and Stevens point out that it may be difficult to differentiate necrotizing fasciitis from cellulitis. The distinction is critical, since the former infection requires surgical débridement with antibiotic therapy, whereas the latter usually responds to antibiotics alone. They add that computed tomography (CT) or magnetic resonance imaging (MRI) "is useful in locating the site and depth of infection."

This raises a crucial issue in the management of deep-seated group A streptococcal infection — namely, the time required for diagnosis . . . [Full Text of this Article]

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