Myalgia, Obtundity and Fever in a Patient with a Prosthesis
  • Valeria Di Stefano
    Department of Internal Medicine, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico and Department of Clinical Sciences and Community Health, University of Milan, Milan
  • Margherita Migone De Amicis
    Department of Internal Medicine, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Ital
  • Cecilia Bonino
    Department of Emergency Medicine, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
  • Natalia Scaramellini
    Department of Internal Medicine, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico and Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
  • Yvan Torrente
    Stem Cell Laboratory, Department of Pathophysiology and Transplantation, University of Milan, Unit of Neurology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Centro Dino Ferrari, Milan, Italy
  • Stefania Picone
    First Division of Infectious Diseases Unit, University of Milan, Ospedale L. Sacco, Milan, Italy
  • Francesca Minozio
    Department of Internal Medicine, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy

Keywords

Group G streptococcus, streptococcal toxic shock syndrome, myopathy, myalgia, myositis

Abstract

Objective: We describe a rare case of group G streptococcus (GGS) sepsis complicated by bacterial toxin myopathy.
Case: A 65-year-old man, with a history of infection of his shoulder prosthesis, presented with multiorgan failure and notable myalgia likely caused by toxins. The patient was treated successfully with antibiotics and prosthesis removal.
Conclusion: This case suggests infection by GGS should be considered in a patient presenting with myalgia associated with sepsis.

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References

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  • Wagner JG, Schlievert PM, Assimacopoulos AP, Stoehr JA, Carson PJ, Komadina K. Acute group G streptococcal myositis associated with streptococcal toxic shock syndrome: case report and review. Clin Infect Dis 1996;23:1159–1161.

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    Published: 2019-02-08
    Issue: Vol 6 No 2 (view)

    How to cite:
    1.
    Di Stefano V, Migone De Amicis M, Bonino C, Scaramellini N, Torrente Y, Picone S, Minozio F. Myalgia, Obtundity and Fever in a Patient with a Prosthesis. EJCRIM 2019;6 doi:10.12890/2019_001021.