What is the treatment for group A streptococcal (GAS) necrotizing fasciitis (streptococcal gangrene/fasciitis?

Updated: Sep 07, 2018
  • Author: Zartash Zafar Khan, MD, FACP; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
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Answer

Treatment of necrotizing fasciitis consists of antibiotic therapy, supportive therapy for associated shock, and prompt surgical intervention.

Early and extensive surgical intervention is currently advocated for necrotizing fasciitis. However, a medical regimen, which includes IVIG, may allow an initial nonoperative or minimally invasive management approach, thus limiting the need for extensive débridement and amputation. [32]


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