Acute poststreptococcal polymyalgia with trismus

Acute poststreptococcal polymyalgia is an infrequently described entity that may follow infection with group A streptococci.1 Hallmarks of this condition are diffuse pain and exquisite tenderness of skeletal muscles without concomitant arthritis or elevated plasma concentrations of muscle enzymes. W...

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Veröffentlicht in:Pediatrics (Evanston) 1987-12, Vol.80 (6), p.953-954
Hauptverfasser: GREMSE, D. A, WALTERSPIEL, J. N
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WALTERSPIEL, J. N
description Acute poststreptococcal polymyalgia is an infrequently described entity that may follow infection with group A streptococci.1 Hallmarks of this condition are diffuse pain and exquisite tenderness of skeletal muscles without concomitant arthritis or elevated plasma concentrations of muscle enzymes. We recently cared for two children in whom acute poststreptococcal polymyalgia was associated with trismus. It is important to recognize this condition and distinguish it from tetanus. CASE REPORTS Case 1 A 6-year-old black boy was previously healthy until five days prior to admission when fever, sore throat, back pain, and malaise developed. On the day of admission, generalized rigidity and difficulty swallowing occurred.
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subjects Bacterial diseases
Biological and medical sciences
Child
Diagnosis, Differential
Human bacterial diseases
Humans
Infectious diseases
Male
Medical sciences
Muscle Spasticity - etiology
Muscles
Pain - etiology
Staphylococcal infections, streptococcal infections, pneumococcal infections
Streptococcal Infections - complications
Streptococcal Infections - diagnosis
Streptococcus pyogenes
Tetanus - diagnosis
Trismus - etiology
title Acute poststreptococcal polymyalgia with trismus
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