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July 1983

Group G Streptococcal Arthritis

Author Affiliations

From the Medical and Research Services of Veterans Administration Wadsworth Medical Center, Los Angeles (Drs Nakata and George); the Department of Medicine, UCLA School of Medicine (Drs Nakata, Silvers, and George); and the VA Medical Center, Sepulveda, Calif (Dr Silvers). Dr Silvers is now in private practice in San Leandro, Calif.

Arch Intern Med. 1983;143(7):1328-1330. doi:10.1001/archinte.1983.00350070044007

• Five patients were seen in the UCLA hospital system with septic arthritis due to group G Streptococcus. All had had prior joint disease or surgery on the affected joint. Findings from physical examination and laboratory evaluation were typical for pyogenic arthritis. Response to antimicrobial therapy was slow and marked by recurrent sterile joint effusions. Group G streptococcal arthritis may be diagnosed more frequently if routine serologic grouping of streptococcal isolates from joint fluid samples is performed. Such identification may also have prognostic significance.

(Arch Intern Med 1983;143:1328-1330)