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February 12, 1982

Septic Arthritis due to Group G Streptococcus

JAMA. 1982;247(6):812-813. doi:10.1001/jama.1982.03320310060031

A VARIETY of serious infections due to Lancefield group G Streptococcus have been reported.1-6 These infections often have occurred in patients with underlying debilitating conditions. We describe a chronic alcoholic patient with group G streptococcal septic arthritis, who had a complicated course despite high-dose penicillin therapy. The case is compared with two previously reported cases of group G streptococcal arthritis.

Report of a Case  A 67-year-old man, who was a chronic alcoholic, fell down a flight of stairs five days before hospitalization. He sustained multiple skin abrasions and experienced pain and swelling of his left knee. He sought medical help because of persistent left-knee swelling associated with diaphoresis. He had no other underlying medical problems.His temperature was 37 °C. He had multiple skin abrasions without evidence of infection. He had poor dentition and a tender, warm, and swollen left knee.On laboratory examination, peripheral leukocyte count was 18,000/cu