Group G streptococcal sepsis, septic arthritis and myositis in a patient with severe oral ulcerations.
Lancefield group G streptococci (GGS) are a relatively less common cause of streptococcal infections but the incidence of which has been reported to increase in the recent years. Similar to group A streptococci, GGS produce localised and invasive infections. Streptococcal myositis is a very rare but highly fatal infection of muscles generally caused by group A streptococci. We report a case of sepsis, migrating septic arthritis and diffuse myositis caused by β-haemolytic GGS. It is an unusual case of diffuse β-haemolytic GGS myositis involving multiple muscle groups in a patient who demonstrated no skin lesions or sign of streptococcal toxic shock syndrome. The patient responded well to intravenous antibiotics without surgical intervention and experienced full recovery.
University of California, Irivne, California, USA.
Wu
W
Deng
Laurie
L
Farricielli
D000368:Aged; D001170:Arthritis, Infectious / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009220:Myositis / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D019226:Oral Ulcer / Q000150:complications* / Q000175:diagnosis; D012772:Shock, Septic / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D013290:Streptococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D013297:Streptococcus pyogenes / Q000302:isolation & purification*