Non‐Tropical Pyomyositis in Children–with Report of Severe Neurological Complications

Brik, Riva; Braun, Jacob; Bialik, Viktor; Zuckerman, Nechama; Berant, Moshe

doi:10.1111/j.1651-2227.1989.tb11085.x

Cited by 8 publications

(4 citation statements)

References 11 publications

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“…53 At times the invasive stage may be prolonged and the patient may present with pyrexia of unknown origin. Rarely, it may present as an acute abdomen or spinal cord compression 54 or compartment syndrome. 55 When localised to neck muscles, it can be mistaken for cervicobrachial neuralgia.…”

Section: Atypical Presentationsmentioning

confidence: 99%

Tropical pyomyositis (myositis tropicans): current perspective

Chauhan

Jain

Varma

2004

Postgraduate Medical Journal

200

249

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Tropical pyomyositis, a disease often seen in tropical countries, is characterised by suppuration within skeletal muscles, manifesting as single or multiple abscesses. The most common organism implicated is Staphylococcus aureus. In 20%–50% of cases there is a history of trauma to the affected muscles. Commonly involved muscles are quadriceps, glutei, pectoralis major, serratus anterior, biceps, iliopsoas, gastrocnemius, abdominal and spinal muscles. Early diagnosis is often missed because of lack of specific signs, unfamiliarity with the disease, atypical manifestations, and a wide range of differential diagnosis. Diagnostic techniques like ultrasound and computed tomography/magnetic resonance imaging are very useful in diagnosis. The diagnosis is confirmed either by biopsy or aspiration of pus from the affected muscles. The initial antibiotic of choice is cloxacillin. Incision and drainage are important components of management. Treatment for Gram negative or anaerobic organisms should be instituted, whenever indicated. Physicians should become more familiar with this potentially life threatening but curable infective disease entity.

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Section: Atypical Presentationsmentioning

confidence: 99%

Tropical pyomyositis (myositis tropicans): current perspective

Chauhan

Jain

Varma

2004

Postgraduate Medical Journal

200

249

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“…Se puede apreciar un aumento de volumen en los tejidos adyacentes, leve eritema en la piel y mediante una aguja se puede aspirar el contenido purulento. Los abscesos paravertebrales pueden invadir el canal raquídeo desencadenado efectos compresivos (9) . En el caso de nuestro paciente no se presentaron abscesos en los músculos psoas pero sí una colección paravertebral posterior, lo que produjo parestesias y dolor a la movilización de la región lumbar por compresión de raíces sensitivas.…”

Section: Discussionunclassified

Presentación atípica de piomiositis tropical difusa de psoas por Staphylococcus aureus meticilino resistente

Ticse

Melgarejo

Fuentes-Dávila

et al. 2014

Rev Peru Med Exp Salud Publica

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La piomiositis tropical difusa primaria es una enfermedad de presentación infrecuente en nuestro medio, con pocos casos asociados a Staphylococcus aureus meticilino resistente, adquirido en la comunidad (MRSA-AC). Se presenta el caso de un paciente de 70 años, con tratamiento irregular para diabetes mellitus tipo 2, que fue hospitalizado por presentar un cuadro de diez días de evolución, con dolor lumbar irradiado a miembro inferior izquierdo, fiebre y flexión forzada de la cadera derecha por dolor a la movilización. El diagnóstico de piomiositis difusa de ambos psoas se realizó con resonancia magnética. Del cultivo de una colección paravertebral posterior se aisló Staphylococcus aureus resistente a oxacilina, penicilina y dicloxacilina.

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“…Rhabdomyolysis, nerve root impingement, and bladder and bowel dysfunction have also been reported. 23,75,76 Other complications of S. aureus bacteremia such as septic shock, endocarditis, septic emboli, pneumonia, pericarditis, brain abscess, acute renal failure, and even death can occur. 77,78 Mortality due to pyomyositis was reported to be as high as 10% in one retrospective cohort study.…”

Section: Clinical Featuresmentioning

confidence: 99%

Tropical Pyomyositis and Necrotizing Fasciitis

Chou¹,

Teo²,

Dubey³

et al. 2011

Semin Musculoskelet Radiol

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Pyomyositis is a purulent infection of skeletal muscle that arises from hematogenous spread, usually with abscess formation. Necrotizing fasciitis is a more severe, rapidly progressive infection involving the superficial and deep fascia with necrosis and fluid collections that can be life threatening if left untreated. Both conditions may coexist, and concomitant cellulitis is often seen. A high incidence of these diseases occurs in the tropics, but they are increasingly being seen in temperate countries, due in part to their association with immunodeficiency conditions such as human immunodeficiency virus (HIV) infection, diabetes mellitus, and organ transplantation. This article aims to familiarize physicians with these entities, review their clinical manifestations and imaging features, and highlight the role of imaging in the management of patients with these conditions.

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Non‐Tropical Pyomyositis in Children–with Report of Severe Neurological Complications

Cited by 8 publications

References 11 publications

Tropical pyomyositis (myositis tropicans): current perspective

Tropical pyomyositis (myositis tropicans): current perspective

Presentación atípica de piomiositis tropical difusa de psoas por Staphylococcus aureus meticilino resistente

Tropical Pyomyositis and Necrotizing Fasciitis

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