title: Group B streptococcal endocarditis presenting with bilateral trapezius myalgias.
abstract: I describe a patient with bilateral trapezius myalgias as a presenting manifestation of group B streptococcal endocarditis. Diffuse myalgias occur in association with bacterial endocarditis. However, localized trapezius myalgias have not been reported. Physicians should consider the diagnosis of endocarditis in patients with this compliant.
authors.affiliation: Department of Medicine, University of Michigan Medical Center, Ann Arbor, USA.
authors.forename: M A
authors.initials: MA
authors.lastname: Marinella
mesh_terms: D016470:Bacteremia / Q000150:complications / Q000175:diagnosis; D003937:Diagnosis, Differential; D004697:Endocarditis, Bacterial / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009135:Muscular Diseases / Q000209:etiology*; D010146:Pain / Q000209:etiology*; D013290:Streptococcal Infections / Q000150:complications / Q000175:diagnosis*; D013292:Streptococcus agalactiae; D013848:Thigh