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.

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.

  • Baxter M, Morgan M. Streptococcal toxic shock syndrome caused by group G streptococcus, United Kingdom. Emerg Infect Dis 2017;23:127–129.

  • Stevens DL. Streptococcal toxic-shock syndrome: spectrum of disease, pathogenesis, and new concepts in treatment. Emerg Infect Dis 1995;1:69–78.
  • Published: 2019-02-08

    Issue: LATEST ONLINE (view)

    Section: Articles

    How to cite:
    Di Stefano, V., Migone De Amicis, M., Bonino, C., Scaramellini, N., Torrente, Y., Picone, S., & Minozio, F. (2019). Myalgia, Obtundity and Fever in a Patient with a Prosthesis. European Journal of Case Reports in Internal Medicine, 2. https://doi.org/https://doi.org/10.12890/2019_0001021