Austin Health

Title
Invasive pneumococcal disease serotype 23B1 causing multifocal septic arthritis, myositis and retroperitoneal abscess.
Publication Date
2024-01-16
Author(s)
Drummond, Kate
Holmes, Natasha E
Subject
Bone and joint infections
Vaccination/immunisation
Type of document
Journal Article
OrcId
0000-0002-9716-0523
0000-0001-8501-4054
DOI
10.1136/bcr-2023-257318
Abstract
We describe a case of a previously healthy unvaccinated man in his 70s who developed penicillin-susceptible bacteraemic invasive pneumococcal disease due to non-vaccine serotype 23B with the unusual manifestations of multifocal myositis, intramuscular abscesses, polyarticular septic arthritis and synovitis. Blood cultures drawn prior to antibiotic therapy and culture of iliopsoas collection were helpful in making the diagnosis. At follow-up, he had persistent hip pain attributed to avascular necrosis of the head of femur, a possible late complication of his pyomyositis.
Link
Citation
BMJ Case Reports 2024-01-16; 17(1)
Jornal Title
BMJ Case Reports
ISSN
1757-790X

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