Brachial Plexus Neuritis Associated With Streptococcus agalactiae Infection: A Case Report
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Brachial plexus neuritis is reportedly caused by various factors; however, it has not been described in association with Streptococcus agalactiae. This is a case report of a patient diagnosed with brachial plexus neuritis associated with pyogenic arthritis of the shoulder. A 57-year-old man visited the hospital complaining of sudden weakness and painful swelling of the left arm. The diagnosis was pyogenic arthritis of the left shoulder, and the patient was treated with open irrigation and debridement accompanied by intravenous antibiotic therapy. S. agalactiae was isolated from a wound culture, and an electrodiagnostic study showed brachial plexopathy involving the left upper and middle trunk. Nine weeks after onset, muscle strength improved in most of the affected muscles, and an electrodiagnostic study showed signs of reinnervation. In conclusion, S. agalactiae infection can lead to various complications including brachial plexus neuritis.
Abstract
Brachial plexus neuritis is reportedly caused by various factors; however, it has not been described in association with Streptococcus agalactiae. This is a case report of a patient diagnosed with brachial plexus neuritis associated with pyogenic arthritis of the shoulder. A 57-year-old man visited the hospital complaining of sudden weakness and painful swelling of the left arm. The diagnosis was pyogenic arthritis of the left shoulder, and the patient was treated with open irrigation and debridement accompanied by intravenous antibiotic therapy. S. agalactiae was isolated from a wound culture, and an electrodiagnostic study showed brachial plexopathy involving the left upper and middle trunk. Nine weeks after onset, muscle strength improved in most of the affected muscles, and an electrodiagnostic study showed signs of reinnervation. In conclusion, S. agalactiae infection can lead to various complications including brachial plexus neuritis.
참고문헌 (10)
- van Alfen N, "Longterm pain, fatigue, and impairment in neuralgic amyotrophy", Arch Phys Med Rehabil, 90, pp.435~439 (2009)
- van Alfen N, "The clinical spectrum of neuralgic amyotrophy in 246 cases", Brain, 129(Pt 2), pp.438~450 (2006)
- Nolla JM, "Group B streptococcus (Streptococcus agalactiae) pyogenic arthritis in nonpregnant adults", Medicine (Baltimore), 82, pp.119~128 (2003)
- Farley MM, "A population-based assessment of invasive disease due to group B Streptococcus in nonpregnant adults", N Engl J Med, 328, pp.1807~1811 (1993)
- Verma R, "Neuralgic amyotrophy associated with dengue fever: case series of three patients", J Postgrad Med, 57, pp.329~331 (2011)
- McCarty EC, "Brachial neuritis", Clin Orthop Relat Res, (368), pp.37~43 (1999)
- Stek CJ, "Neuralgic amyotrophy associated with Bartonella henselae infection", J Neurol Neurosurg Psychiatry, 82, pp.707~708 (2011)
- Dumitru D, "Electrodiagnostic medicine", pp.816~817 (2002), Hanley & Belfus
- Gonzalez-Alegre P, "Idiopathic brachial neuritis", Iowa Orthop J, 22, pp.81~85 (2002)
- Pica EC, "Bilateral brachial plexopathy as an initial presentation in a newly-diagnosed, uncontrolled case of diabetes mellitus", Singapore Med J, 49, pp.e29~e32 (2008)