Paraspinal Pyomyositis

Akhaddar, Ali

doi:10.1007/978-3-319-60086-4_16

Cited by 1 publication

(3 citation statements)

References 14 publications

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“…Pyomyositis affecting the paraspinal and pelvis floor muscle groups is rare and can be difficult to diagnose because of the deep location [ 3 , 4 , 8 ]. In the lumbosacral region, the posterior paraspinal muscles include the erector spinae and multifidus muscles, while the iliacus muscle lies in the iliac fossa of the pelvic bone.…”

Section: Discussionmentioning

confidence: 99%

“…Pyomyositis affecting the paraspinal muscles (cervical, thoracic, lumbar, or psoas) is also rare, making up less than 4% of pyomyositis cases. Paraspinal pyomyositis is also more common in children and young adult men [ 4 ]. A delay in diagnosing paraspinal and iliacus pyomyositis can result in osteomyelitis of the adjacent spinal and pelvic bones, retroperitoneal abscess, sepsis, and occasionally death [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Paraspinal pyomyositis is also more common in children and young adult men [ 4 ]. A delay in diagnosing paraspinal and iliacus pyomyositis can result in osteomyelitis of the adjacent spinal and pelvic bones, retroperitoneal abscess, sepsis, and occasionally death [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Pyomyositis Affecting the Paraspinal and Iliacus Muscles in a Patient With Staphylococcus aureus Urinary Tract Infection

Javed

Kamara

Oyibo

2021

Cureus

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We report a case of a 63-year-old man who presented with a four-day history of fever, night sweats, and left lower back pain, which radiated down to his left buttock and leg. He also had a short-lived episode of chest pain and breathlessness. He had a medical history of chronic back pain, which had been diagnosed as sciatica three years ago. Initial investigations revealed raised inflammatory markers due to a Staphylococcus aureus urinary tract infection. Despite treatment, his inflammatory markers did not improve and the left lower back pain persisted. A magnetic resonance imaging scan demonstrated features consistent with pyomyositis of the left lumbar erector spinae (paraspinal) and iliacus muscles. After prolonged antibiotic therapy, his symptoms completely resolved. Pyomyositis is a rare tropical infection of the skeletal muscles most commonly caused by Staphylococcus aureus . Risk factors include trauma and immunosuppression. This case highlights a nearly missed diagnosis of paraspinal and iliacus pyomyositis in patients with a background history of chronic lower back pain. Early diagnosis and treatment are pivotal in preventing serious complications such as septicemia and multi-organ failure.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%