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Group G streptococcal arthritis

A N Lin, A Karasik, I E Salit

    The Journal of Rheumatology
    |May 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Beta-hemolytic streptococci, Lancefield Group G, can cause infectious arthritis. Prompt antibiotic treatment and joint aspiration lead to excellent recovery of joint function in these cases.

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    Area of Science:

    • Infectious Diseases
    • Rheumatology
    • Microbiology

    Background:

    • Infectious arthritis can be caused by various bacteria, including streptococci.
    • Lancefield Group G beta-hemolytic streptococci are an uncommon cause of septic arthritis.
    • Patients with underlying conditions like alcoholism, malignancy, or diabetes are at increased risk.

    Observation:

    • Four cases of infectious arthritis caused by Group G streptococci are presented.
    • Three patients experienced acute polyarthritis in unusual joint locations.
    • One patient presented with acute monoarthritis.

    Findings:

    • All patients had predisposing conditions: alcoholism (2), malignancy (1), and diabetes mellitus (1).
    • Two patients had concurrent Group G streptococcal endocarditis, and one had a skin infection.

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  • Successful treatment involved parenteral antibiotics and joint aspiration.

    • Implications:

    • Prompt diagnosis and treatment of Group G streptococcal arthritis lead to excellent prognosis for joint function.
    • Routine serogrouping of streptococcal isolates is crucial for diagnosing septic arthritis.
    • Recognizing this uncommon pathogen is vital for appropriate management and therapeutic outcomes.