Summary
A case of Group G streptococcal arthritis in a previously healthy man is reported. The 2nd and 3rd metatarso-phalangeal joints of the left foot were simultaneously affected. Unusual erosive joint destruction occurred in spite of early therapy and clinical improvement. Circulating immune complexes were raised and were not completely normal at 1 year.
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Bradlow, A., Mitchell, R.G., Mowat, A. Group G streptococcal arthritis. Rheumatol Rehabil, 1982, 21, 206–210.
Lam, K., Bayer, A.S. Serious infections due to Group G streptococci. Report of 15 cases with in vitro-in vivo correlations. Am J Med, 1983, 75, 561–570.
Lin, A., Karasik, A., Salit, I.E., Fam, A.G. Group G streptococcal arthritis. J Rheumatol, 1982, 9, 424–427.
Fujita, N.K., Lam, K., Bayer, A.S. Septic arthritis due to Group G streptococcus. JAMA, 1982, 247, 812–813.
Nakata, M.M., Silvers, J.H., George, W. Group G streptococcal arthritis. Arch Intern Med, 1983, 143, 1328–1330.
David-Chausse, J., Dehais, J., Boyer, M., Darde, M.L., Imbert, Y. Les infections articulaires chez l'adulte. Atteintes périphériques et vertébrales à germes banals et à bacilles tuberculeux. Rev Rhum, 1981, 48, 69–76.
Goldenberg, D.L., Cohen, A.S. Acute infectious arthritis. A review of patients with nongonooccal joint infections (with emphasis on therapy and prognosis). Am J Med, 1976, 60, 369–377.
Duma, R.J., Weinberg, A.N., Medrek, T.F., Kunz, L.J. Streptococcal infections. A bacteriologic and clinical study of streptococcal bacteremia. Medecine, 1969, 48, 87–127.
Russell, A.S., Ansell, B.M. Septic arthritis. Ann Rheum Dis, 1972, 31, 40–44.
Tuazon, C.U. Group G streptococcus. Am J Med Sci, 1980, 279, 121–124.
Ancona, R.J., Thompson, T.R., Ferrieri, P. Group G streptococcal pneumonia and sepsis in a newborn infant. J Clin Microbiol, 1979, 10, 758–59.
Nieburg, P.I. Fatal Group G streptococcal sepsis in a neonate. Scand J Infect Dis, 1979, 11, 93–96.
Appelbaum, P.C., Friedman, Z., Fairbrother, P.F., Hellmann, J., Hallgren, E.J. Neonatal sepsis due to Group G streptococci. Acta Paediatr Scand, 1980, 69, 559–562.
Dyson, A.E., Read, S.E. Group G streptococcal colonization and sepsis in neonates. J Pediatr, 1981, 99, 944–947.
Armstrong, D., Blevins, A., Louria, D.B., Henkel, J.S., Moody, M.D., Sukany, M. Groups B, C, and G streptococcal infections in a cancer hospital. Ann NY Acad Sci, 1970, 754, 511–522.
Bouza, E., Meyer, R.D., Busch, D.F. Group G streptococcal endocarditis. Am J Clin Pathol, 1978, 70, 108–111.
Lütticken, R., Schaal, K.P. Streptokokken-Infektionen und ihre Folgekrankheiten. Internist, 1978, 19, 161–165.
Filker, R.S., Monif, G.R.G. Postpartum septicemia due to Group G streptococci. Obstet Gynecol., 1979, 53 sup., 28 S-30 S.
Shama, S., Calandra, G.B. Atypical erysipelas caused by Group G streptococci in a patient with cured Hodgkin's disease. Arch Dermatol, 1982, 118, 934–936.
MacDonald, I. Fatal and severe human infectons with haemolytic streptococci Group G. Med J Aust, 1939, 2, 471–474.
Barnham, M. Rapidly fatal Group B and G streptococcal infections in adults. J Infect, 1980, 2, 279–281.
Mohan, V.K.K., Tilton, R.C., Raye, J.R., DeSilva, H.N. Fatal Group G streptococcal sepsis in a preterm neonate. Am J Dis Child, 1980, 134, 894–895.
Shuckett, R., Fam, A.G. Pseudothrombophlebitis syndrome in pyogenic arthritis. Can Assoc J, 1983, 128, 294–295.
Hamilton, C.A., Stark, D.M. Occurrence and characterization of Lancefield Group G streptococci in bovine mastitis. Am J Vet Res, 1970, 31, 397–398.
Tillman, P.C., Dodson, N.D., Indiveri, M. Group G streptococcal epizootic in closed cat colony. J Clin Microbiol, 1982, 16, 1057–1060.
Fujikawa, S., Okuni, M. Diagnosis of streptococcal infection: previous or recent. J Circul J, 1981, 45, 1382–1383.
Hess, O.M., Youssef, S., Luthy, R., Seigenthaler, W. Rezidivierende Sepsis mit Streptokokken der Lancefield-Gruppe G. Schweiz Med Wschr, 1980, 110, 129–130.
Mitnick, H., Mitnick, J.S, Rafii, M., Wetherbee, R. Septic arthritis secondary to Group G streptococcus. J Rheumatol, 1982, 9, 974–976.
Edeiken, J., Hodes, P.J. Roentgen diagnosis of bone. Baltimore, The Williams & Wilkins Co, 1967, 6.391–6.397.
Sirot, J., Lopitaux, R., Cluzel, R., Rampon, S. Le rôle du laboratoire de bactériologie dans le diagnostic et le traitement des ostéo-arthrites. Rev Rhum, 1981, 48, 9–16.
Lakha, S. Immune complexes. Clin Rheum Dis, 1983, 9, 199–225.
Walker, L.C., Ahlin, T.D., Tung, J.S.K., Williams, R.C. Jr. Circulating immune complexes in disseminated gonorrheal infection. Ann Intern Med, 1978, 89, 28–33.
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van Linthoudt, D., Modde, H., Ott, H. et al. Erosive Group G streptococcal arthritis. Case report and review of the literature. Clin Rheumatol 3, 541–545 (1984). https://doi.org/10.1007/BF02031280
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DOI: https://doi.org/10.1007/BF02031280