Case Report
The Journal of the Korean Rheumatism Association 2003; 10(4): 446-450
Published online December 30, 2003
© Korean College of Rheumatology
연쇄상구균 근염으로 발현된 전신성 홍반성 루푸스 1예
이상재·서찬희·장병일·전수진·민상조·김동규·최병문·이충원
왈레스 기념 침례병원 내과
A Case of Systemic Lupus Erythematosus Presented with Streptococcal Myositis
Correspondence to : Choong Won Lee
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.
Keywords Myositis, Streptococcus, Systemic lupus erythematosus
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Case Report
The Journal of the Korean Rheumatism Association 2003; 10(4): 446-450
Published online December 30, 2003
Copyright © Korean College of Rheumatology.
연쇄상구균 근염으로 발현된 전신성 홍반성 루푸스 1예
이상재·서찬희·장병일·전수진·민상조·김동규·최병문·이충원
왈레스 기념 침례병원 내과
A Case of Systemic Lupus Erythematosus Presented with Streptococcal Myositis
Sang Jae Lee, M.D., Chan Hee Seo, M.D., Byeong Il Jang, M.D., Soo Jin Jun, M.D., Sang Jo Min, M.D., Dong Kyu Kim, M.D., Byoung Moon Choi, M.D., Choong Won Lee, M.D.
Department of Internal Medicine, Wallace Memorial Baptist Hospital, Busan, Korea
Correspondence to:Choong Won Lee
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.
Keywords: Myositis, Streptococcus, Systemic lupus erythematosus
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