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BMJ Case Rep. 2014 Jan 27;2014. pii: bcr2013200338. doi: 10.1136/bcr-2013-200338.

Group G streptococcal sepsis, septic arthritis and myositis in a patient with severe oral ulcerations.

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1
University of California, Irivne, California, USA.

Abstract

Lancefield group G streptococci (GGS) are a relatively less common cause of streptococcal infections but the incidence of which has been reported to increase in the recent years. Similar to group A streptococci, GGS produce localised and invasive infections. Streptococcal myositis is a very rare but highly fatal infection of muscles generally caused by group A streptococci. We report a case of sepsis, migrating septic arthritis and diffuse myositis caused by β-haemolytic GGS. It is an unusual case of diffuse β-haemolytic GGS myositis involving multiple muscle groups in a patient who demonstrated no skin lesions or sign of streptococcal toxic shock syndrome. The patient responded well to intravenous antibiotics without surgical intervention and experienced full recovery.

PMID:
24469838
PMCID:
PMC3912390
DOI:
10.1136/bcr-2013-200338
[Indexed for MEDLINE]
Free PMC Article
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