Case 159. Streptococcal myonecrosis (45 y-o M)

　 　 　 　
　 Debridment from progressive and lethal gangrene of both arms of a previously healthy man (clinical course: 3 days) 　
　 　 　 　

　

 　 Massive growth of Gram-positive cocci is associated with pronounced gangrenous necrosis of soft tissue (HE). Cellular reaction is minimal.