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PubMed · 3937515

Streptococcus group G septic polyarthritis.

L March·C J Needs·J Webb
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Abstract

A case of streptococcus group G polyarthritis has been identified from blood and synovial fluid cultures and was sensitive to penicillin G. The clinical tendency to polyarticular infection by this organism and its discordant response to the antibiotics indicated by in vitro studies are discussed.

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Arthritis, InfectiousCefoxitinHumansMaleMiddle AgedPenicillin GPenicillin VStreptococcal InfectionsSynovial FluidCase ReportsJournal ArticleResearch Support, Non-U.S. Gov't

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L March, C J Needs, J Webb. 1985. Streptococcus group G septic polyarthritis.. https://pubmed.ncbi.nlm.nih.gov/3937515/

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Disseminated gonococcal infection presenting as vasculitis: a case report.

A 50-year-old man with alcoholic liver disease presented with fever, tenosynovitis, polyarthritis and a vasculitic rash on the hands and feet for 4 days. He had neutrophilia and raised inflammatory markers. He had no history of sore throat, urethral discharge or travel abroad. His initial blood cultures were negative, and he was treated for vasculitis with steroids. The rash and arthritis seemed to improve initially, but he had another episode of fever. Repeat blood cultures grew Neisseria gonorrhoeae,and he received intravenous ceftriaxone followed by oral ciprofloxacin. He had marked improvement in rash, tenosynovitis and arthritis, and the fever dropped. He also had chlamydial urethritis and received azithromycin. The presentation of disseminated gonococcal infection after a presumptive episode of asymptomatic urethral gonorrhoea is highlighted.

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