Myalgia, Obtundity and Fever in a Patient with a Prosthesis.

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.