Myalgia, Obtundity and Fever in a Patient with a Prosthesis
- Resource Type
- Authors
- Natalia Scaramellini; Margherita Migone De Amicis; Francesca Minozio; Cecilia Bonino; Yvan Torrente; Valeria Di Stefano; Stefania Picone
- Source
- European Journal of Case Reports in Internal Medicine (2019)
European Journal of Case Reports in Internal Medicine
- Subject
- myalgia
musculoskeletal diseases
medicine.medical_specialty
streptococcal toxic shock syndrome
medicine.drug_class
Antibiotics
lcsh:Medicine
Sepsis
medicine
Internal Medicine
Myopathy
Myositis
business.industry
lcsh:R
Articles
medicine.disease
Shoulder Prosthesis
Surgery
medicine.symptom
Differential diagnosis
business
Meningitis
Group G streptococcus
myositis
myopathy
- Language
- English
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. Learning points Infection by GGS should be considered in a patient presenting with myalgia associated with sepsis.The differential diagnosis in this case included a neurological condition (meningitis or atypical Guillain-Barre syndrome) and sepsis with myopathy induced by bacterial toxins.Group G streptococcus (GGS) infection in a prosthetic shoulder was successfully treated with antibiotics and prosthesis removal.