Loss of split thickness skin grafts due to non-group A beta-haemolytic streptococci

Ann R Coll Surg Engl. 1988 Jul;70(4):217-9.

Abstract

Over a 17-month period 77 patients requiring a split skin graft for a burn injury have suffered loss of previously well taken graft due to the growth of a beta-haemolytic streptococcus. Of these only 42 were streptococci of Lancefield group A (Streptococcus pyogenes); 16 were group B, 3 group C and 16 group G. Some strains of groups B, C and G produce cytopathic and spreading factors capable of destroying the new skin graft and regenerating epithelium. We suggest that the non-group A streptococci may be more pathogenic than previously recognised in this particular respect.

MeSH terms

  • Burns / surgery*
  • Graft Rejection*
  • Humans
  • Skin / microbiology
  • Skin Transplantation*
  • Streptococcal Infections / microbiology*
  • Streptococcus / classification
  • Streptococcus / pathogenicity
  • Streptococcus agalactiae
  • Streptococcus pyogenes
  • Surgical Wound Infection / microbiology*