Acute Group G Streptococcal Myositis Associated with Streptococcal Toxic Shock Syndrome: Case Report and Review

• Published in: Clinical infectious diseases Vol. 23; no. 5; pp. 1159 - 1161
• Main Authors: Wagner, John G., Schlievert, Patrick M., Assimacopoulos, Aris P., Stoehr, Jennifer A., Carson, Paul J., Komadina, Kevin
• Format: Journal Article
• Language: English
• Published: Chicago, IL The University of Chicago Press 01.11.1996; University of Chicago Press
• Subjects: Animals; Bacterial diseases; Biological and medical sciences; Blisters; Exotoxins; Fatal Outcome; Female; Foot - microbiology; Foot - pathology; Human bacterial diseases; Humans; Infections; Infectious diseases; Medical sciences; Middle Aged; Myositis; Myositis - microbiology; Myositis - pathology; Myositis - physiopathology; Pyomyositis; Sepsis; Shock, Septic - microbiology; Shock, Septic - pathology; Shock, Septic - physiopathology; Staphylococcal infections, streptococcal infections, pneumococcal infections; Streptococcal Infections - microbiology; Streptococcal Infections - pathology; Streptococcal Infections - physiopathology; Streptococcus; Streptococcus - isolation & purification; Toxicity; Toxins; Human; Acute; Bibliographic survey; Toxic shock syndrome; Infection; Case study; Streptococcaceae; Striated muscle disease; Streptococcal infection; Bacteriosis; Bacteria; Micrococcales; Myositis; Staphylococcal infection; Streptococcus G
• ISSN: 1058-4838; 1537-6591
• DOI: 10.1093/clinids/23.5.1159

The group G streptococcus (GGS) is a rare cause of deep soft-tissue infection. We report what we believe is the first case of acute diffuse GGS myositis in association with toxic shock. Although the causative organism did not contain the genes for group A streptococcal pyrogenic exotoxins (SPEs) or make SPEs, the organism produced at least one new toxin that shared the biologic properties of the SPEs.