Lingual necrosis secondary to group a streptococcal necrotising infection
Lingual necrosis secondary to group a streptococcal necrotising infection
Tongue necrosis is a rare manifestation of Group A Streptococcal (GAS) infection. Only certain strains of GAS have been found to cause invasive disease in the form of necrotising skin and soft tissue infections. We present the case of an older woman who developed a sore throat and localised ulcer on the tongue, that rapidly progressed to lingual necrosis and spreading erythema in the neck and chest. Owing to rapid detection, she received timely surgical treatment and intravenous antibiotic therapy, making a full recovery. This report describes the unique presentation of lingual necrosis in GAS infection. It highlights the diagnostic challenges and emphasises the importance of early recognition of symptoms.
case report, group a streptococcal infection, lingual necrosis, necrotising soft tissue infection
280-282
Abeer, Fatima
267fe38d-abbb-49b4-a5fe-f312478b533e
Ethunandan, Madan
da91351a-3ddf-4f44-bead-3b69105fb4ac
Waise, Sara
13f667c5-853e-4120-a2c6-bbc8324e3b2a
Saeed, Kordo
87cb67e5-71e8-4759-bf23-2ea00ebd8b39
28 March 2025
Abeer, Fatima
267fe38d-abbb-49b4-a5fe-f312478b533e
Ethunandan, Madan
da91351a-3ddf-4f44-bead-3b69105fb4ac
Waise, Sara
13f667c5-853e-4120-a2c6-bbc8324e3b2a
Saeed, Kordo
87cb67e5-71e8-4759-bf23-2ea00ebd8b39
Abeer, Fatima, Ethunandan, Madan, Waise, Sara and Saeed, Kordo
(2025)
Lingual necrosis secondary to group a streptococcal necrotising infection.
Oxford Medical Case Reports, 2025 (4), , [omaf022].
(doi:10.1093/omcr/omaf022).
Abstract
Tongue necrosis is a rare manifestation of Group A Streptococcal (GAS) infection. Only certain strains of GAS have been found to cause invasive disease in the form of necrotising skin and soft tissue infections. We present the case of an older woman who developed a sore throat and localised ulcer on the tongue, that rapidly progressed to lingual necrosis and spreading erythema in the neck and chest. Owing to rapid detection, she received timely surgical treatment and intravenous antibiotic therapy, making a full recovery. This report describes the unique presentation of lingual necrosis in GAS infection. It highlights the diagnostic challenges and emphasises the importance of early recognition of symptoms.
Text
omaf022
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Accepted/In Press date: 2 February 2025
Published date: 28 March 2025
Keywords:
case report, group a streptococcal infection, lingual necrosis, necrotising soft tissue infection
Identifiers
Local EPrints ID: 501871
URI: http://eprints.soton.ac.uk/id/eprint/501871
PURE UUID: a99a716a-a01c-4edb-8006-0653e8153e5e
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Date deposited: 11 Jun 2025 16:55
Last modified: 22 Aug 2025 02:27
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Contributors
Author:
Fatima Abeer
Author:
Madan Ethunandan
Author:
Sara Waise
Author:
Kordo Saeed
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