Streptococcal Myositis

Lodewijk Th. Vlasveld, MD; Barend L. HOGEWIND, MD
Arch Intern Med. 1986;146(5):1017. doi:10.1001/archinte.1986.00360170275037.
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To the Editor.  —Reviewing the incidence of streptococcal myositis occurring in temperate climates, as reported in the June 1985 issue of the Archives, Adams et al found only three cases of survival.1 Recently, a 33year-old woman was described with a streptococcal myositis of the chest wall on the left side without severe systemic symptoms who was successfully treated with antibiotics and open drainage.2In addition to these reports, we present the following case.

Report of a Case.  —A 75-year-old man, with a history of an anterior wall myocardial infarction and rheumatoid arthritis, was admitted to the hospital because of pain in the left shoulder and upper arm without any preceding trauma. The patient appeared toxic. He had a cellulitis on the left shoulder and upper arm as well as on the right ankle. The color of the skin of the left upper thigh was bronze, and the underlying


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