Group A streptococcus (GAS) is associated with a spectrum of soft-tissue infections that include toxic shock syndrome, myositis, and necrotizing fasciitis (, , ). The mainstay of therapy for invasive GAS soft-tissue infections is surgical exploration and debridement, as penicillin treatment alone is associated with a high morbidity and mortality (). We report a case that suggests that imaging-guided percutaneous drainage may have a role in the treatment of some cases of GAS fasciitis, and may preclude the need for surgical intervention.
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