Invasive pneumococcal disease serotype 23B1 causing multifocal septic arthritis, myositis and retroperitoneal abscess.
Kate DrummondNatasha E HolmesPublished in: BMJ case reports (2024)
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.
Keyphrases
- rheumatoid arthritis
- dengue virus
- acute kidney injury
- interstitial lung disease
- chronic pain
- pain management
- neuropathic pain
- stem cells
- juvenile idiopathic arthritis
- myasthenia gravis
- bone mineral density
- postmenopausal women
- bone marrow
- multidrug resistant
- body composition
- spinal cord
- smoking cessation
- idiopathic pulmonary fibrosis
- cell therapy
- postoperative pain