A rare case of recurrent post-streptococcal myalgia

Poststreptococcal Myalgia and Protracted Febrile Myalgia Syndrome: Similar Yet Different

We compare cases of familial Mediterranean fever-related protracted febrile myalgia and poststreptococcal myalgia, both rare disorders presenting with fever, myalgia, and inflammatory biomarkers. Although clinical symptoms may be undistinguishable, steroids are usually required in protracted febrile myalgia syndrome and poststreptococcal myalgia most often respond to nonsteroidal anti-inflammatory drugs. Awareness of poststreptococcal myalgia and preceding history may prevent unnecessary tests or overtreatment.

Post streptococcal myalgia: an under-recognized clinical syndrome

Post streptococcal myalgia (PSM) is an under-recognized non-infectious sequelae of streptococcal infection in children. The authors report a case of PSM in an 11-year-old boy along with a review of previously reported cases. The diagnosis of PSM should be considered in children presenting with acute myalgia and high Anti-Streptolysin O titres.