TABLE 1.
Patient | Classification | Conventional culture result | speB PCR result |
---|---|---|---|
1 | Necrotizing fasciitis | Group A streptococcus | Positive |
2 | Necrotizing fasciitis | Group A streptococcus | Positive |
3 | Necrotizing fasciitis | Group A streptococcus | Positive |
4 | Necrotizing fasciitis | Group A streptococcus | Positive |
5 | Necrotizing fasciitis | Group A streptococcus | Positive |
6 | Necrotizing fasciitis | Group A streptococcus | Positive |
7 | Necrotizing fasciitis | Group A streptococcus | Positive |
8 | Necrotizing fasciitis | Group A streptococcus | Positive |
9 | Necrotizing fasciitis | Group A streptococcus | Positive |
10 | Necrotizing fasciitis | Negative (serology +)a | Positive |
11 | Necrotizing fasciitis | Group B streptococcus | Negative |
12 | Necrotizing fasciitis | Staphylococcus aureus | Negative |
13 | Necrotizing fasciitis | Streptococcus anginosis, Escherichia coli, Proteus mirabilis, Bacteroides fragilis | Negative |
14 | Necrotizing fasciitis | No growth | Negative |
15 | Control tissueb | Microaerophilic streptococci, Coagulase-negative staphylococci, diphtheroids | Negative |
16 | Control tissue | Mixed coliforms | Negative |
17 | Control tissue | Coagulase-negative staphylococci, E. coli | Negative |
18 | Control tissue | No growth | Negative |
19 | Control tissue | No growth | Negative |
20 | Control tissue | No growth | Negative |
21 | Control tissue | No growth | Negative |
DNase B titer (Behring Diagnostics).
Control tissue samples included ischemic injury with gangrene (one patient), pyoderma gangrenosum (one patient), cellulitis (one patient), and soft tissue with no pathological diagnosis (four patients).