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Bursitis and tenosynovitis caused by group G streptococci
The Journal of Rheumatology
|October 1, 1983
Summary
Group G streptococcal infections can occur outside joints, affecting tendons and bursae. Penicillin treatment effectively resolved these extraarticular infections in both reported cases.
Area of Science:
- Infectious Diseases
- Microbiology
- Rheumatology
Background:
- Group G Streptococcus (GGS) is a bacterial pathogen.
- Extraarticular infections are those occurring outside of joint spaces.
- Tenosynovitis and bursitis are inflammatory conditions affecting tendons and bursae, respectively.
Observation:
- Two patients presented with extraarticular GGS infections.
- One patient had tenosynovitis of the extensor digitorum communis tendons in the wrist.
- The other patient had prepatellar bursitis.
Findings:
- Both patients received penicillin therapy.
- Penicillin treatment led to a rapid resolution of all infection signs in both cases.
- This suggests penicillin is effective for extraarticular GGS infections.
Implications:
- Early diagnosis and penicillin treatment are crucial for managing extraarticular GGS infections.
- These findings highlight the potential for GGS to cause non-articular musculoskeletal infections.
- Further research may explore the spectrum and management of GGS-related musculoskeletal conditions.