European journal of case reports in internal medicine · 2019
Myalgia, Obtundity and Fever in a Patient with a Prosthesis.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Di Stefano Valeria, De Amicis Migone Margherita, Bonino Cecilia, Scaramellini Natalia, Torrente Yvan, Piconi Stefania, Minonzio Francesca
Аннотация
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-Barré 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.
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-Barré 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.