Necrotising myositis is an extremely rare infection caused by Streptococcus pyogenes. Since the disease can mimic several other conditions, the diagnosis is often delayed. We describe a case of necrotising myositis necessitating amputation of both legs in a previously healthy 40 year-old man. Although the use of clindamycin and immunoglobulin treatment may improve outcome, necrotising myositis is a surgical emergency.
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