J Korean Rheum Assoc.  2003 Dec;10(4):446-450.

A Case of Systemic Lupus Erythematosus Presented with Streptococcal Myositis

• Lee SJ
• Seo CH
• Jang BI
• Jun SJ
• Min SJ
• Kim DK
• Choi BM
• Lee CW

Abstract

Streptococcal myositis is an extremely uncommon infectious disease caused by Group A streptococcus (GAS). GAS infection spreads rapidly and diffusely through the muscle, resulting in edema and necrosis. Consequently, it results in streptococcal toxic shock syndrome having extremely high mortality. We report a 42 year-old female patient with systemic lupus erythematosus accompanying with streptococcal myositis who initially presented with fever, severe pain, and tenderness on the calf. Her systemic toxic symptoms were aggravated and finally she died of the disease in spite of aggressive management.

Keyword

Myositis; Streptococcus; Systemic lupus erythematosus

MeSH Terms

Adult
Communicable Diseases
Edema
Female
Fever
Humans
Lupus Erythematosus, Systemic*
Mortality
Myositis*
Necrosis
Shock, Septic
Streptococcus