| Sumario: | There has been a recent flurry of interest in invasive group A beta hemolytic streptococcal infections stimulated by sensational news reports in the British tabloids and by the news media in the United States. Such infections have been known throughout recorded history. The pathophysiology and principles of treatment have been known for at least a century. The most effective antibiotic for treating this condition was discovered over fifty years ago and remains effective to this day. Although these infections may be fatal within 24-48 hours, streptococcal necrotizing fasciitis is not a disease of medical progress, but is a disease not recognized because it has been made rare by the widespread use of antibiotics. A review of the pathophysiology and treatment of this condition is timely, however, as effective treatment requires immediate recognition, immediate surgical intervention, and prompt institution of antibiotic therapy.
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