Myalgia, Obtundity and Fever in a Patient with a Prosthesis

Authors

• 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

valeriame.distefano@hotmail.com

Keywords

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.