Extensive pyogenic myositis of the hip in an immunocompetent patient

Chan, Oliver; Nawaz, Syed Zuhair; Hughes, Sean G; Skinner, John

doi:10.1258/shorts.2011.011071

Cited by 3 publications

(3 citation statements)

References 19 publications

(38 reference statements)

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“…Pyomyositis is a disease that is predominantly seen in tropical countries, characterised by suppuration of bacteria within skeletal muscles. In recent years, there has been a gradual increase in the number of cases in non-tropical areas, especially the United Kingdom, with four reported cases in the literature, manifesting as single or multiple abscesses [4,5,6,7].…”

Section: Discussionmentioning

confidence: 99%

An Unusual Presentation of Pectoralis Major Pyomyositis Presenting as Septic Arthritis of the Shoulder: A Case Report and Review of the Literature

2018

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Pyomyositis is a relatively rare condition and often requires a low index of suspicion. We present a case of an otherwise fit and well woman who had pyomyositis of the pectoralis major muscle and presented as an acute septic arthritis of the shoulder. We present the conundrums that arose in arriving at this diagnosis, and how we successfully managed this condition through our multidisciplinary approach. We urge all clinicians to bear in mind this potential diagnosis, even in those patients not deemed to be immunocompromised.

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Section: Discussionmentioning

confidence: 99%

An Unusual Presentation of Pectoralis Major Pyomyositis Presenting as Septic Arthritis of the Shoulder: A Case Report and Review of the Literature

2018

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“…Although a wide variety of microorganisms have been implicated in bacterial myositis, ∼95% of cases are caused by Staphylococcus aureus and 1–5% by Streptococcus pyogenes . Gram-negative organisms, such as Enterobacter and Escherichia coli , are rare causes and include K. pneumoniae , as in our case [ 3 ].…”

mentioning

confidence: 94%

“…Klebsiella pneumoniae infection usually affects immunocompromised patients with neutropenia, HIV and those with diabetes or alcohol abuse [ 3–5 ]. Other possible causes of myositis were also explored in our case but were absent, including autoimmune disease, trauma, medications and electrolyte disturbances.…”

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confidence: 99%

Multifocal reactive myositis induced by Klebsiella pneumoniae

Siosi

Ani

Chaudhry

et al. 2021

Rheumatology Advances in Practice

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Diagnosis of primary pyomyositis

Iqbal

Motoroko

2014

ANZ Journal of Surgery

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Alternative guide to utilization of computed tomography in appendicitisRegarding Alvarado score: a guide to computed tomography (CT) utilization in appendicitis, 1 I use an alternative guide to utilization of CT in appendicitis that is based on the age and sex of the patient. Each group of patients have different causes of right iliac fossa (RIF) pain, the appendicitis assumes different position in the ladder of differential diagnosis of RIF pain and each group have different risk rate from CT. The risk is higher in younger ages and in female. 2 For patients with age over 40, I use CT more routinely as the advantages exceed the risks. It achieves the lowest negative result, avoids unnecessary operation in older patients with as expected higher comorbidities, and helps to diagnose other more common causes of RIF pain in that group such as caecal diverticulitis, caecal carcinoma and even Iliac artery aneurysm. The increased risk of cancer from CT is lower in older ages. 2 For male children up to the age of 20 and for female children up to the age of 13, mesenteric adenitis is a more common cause of pain; I am very reluctant to give them CT radiation. The American Cancer Society estimates that in the future, cancer will develop from every 300 abdomen/pelvis scans. 3 For women at the ages of 14-40, the tubovarian conditions are the more common causes of RIF pain; it is safer to rely on ultrasound, observation, diagnostic laparoscopy and magnetic resonance imaging, which is as sensitive and specific as CT. 4 This group is at a higher risk of cancer from CT than both the men at same age as well as older women. 2,3 For men at the ages 20-40, a low negative rate can be achieved on clinical ground and CT is only occasionally needed. References 1. Tan W, Pek W, Kabir T et al. Alvardo score: a guide to computed tomography utilization in appendicitis. ANZ J. Surg. 2013; 83: 748-52. 2. Einstein A, Henzlova M, Rajagopalan S. Estimating risk of cancer associated with radiation CT angiography. JAMA 2007; 298: 317-23. 3. Miglioretti L, Johnson E, Williams A et al. The use of computed tomography in pediatrics and the associated radiation exposure and estimated cancer risk. JAMA Pediatr. 2013; 167: 700-7. 4. Stoker J. Magnetic resonance imaging and the acute abdomen. Br. J. Surg. 2008; 95: 1193-4.

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Extensive pyogenic myositis of the hip in an immunocompetent patient

Cited by 3 publications

References 19 publications

An Unusual Presentation of Pectoralis Major Pyomyositis Presenting as Septic Arthritis of the Shoulder: A Case Report and Review of the Literature

An Unusual Presentation of Pectoralis Major Pyomyositis Presenting as Septic Arthritis of the Shoulder: A Case Report and Review of the Literature

Multifocal reactive myositis induced by Klebsiella pneumoniae

Diagnosis of primary pyomyositis

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