Pyomyositis in Children

Verma, Sanjay

doi:10.1007/s11908-016-0520-2

Cited by 41 publications

(55 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our patient had a common location for pyomyositis but had an unusual presentation due to no identified antecedent infectious symptoms or history of trauma. Furthermore, pyomyositis often results from Staphylococcus aureus infection, responsible for 80%-90% of cases [ 5 , 7 ]. Streptococcus pyogenes , as our patient had, is a much less common cause of pyomyositis, especially in immunocompetent individuals [ 3 , 8 ] and in children [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, pyomyositis often results from Staphylococcus aureus infection, responsible for 80%-90% of cases [ 5 , 7 ]. Streptococcus pyogenes , as our patient had, is a much less common cause of pyomyositis, especially in immunocompetent individuals [ 3 , 8 ] and in children [ 7 ]. Initial reports of Streptococcus pyogenes pyomyositis implicated a coincident primary varicella infection [ 9 ], but it has now been reported independent of varicella infection [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Group A Streptococcal Pyomyositis in a Previously Healthy Six-year-old Girl

Tawfik

Hobson

2018

Cureus

View full text Add to dashboard Cite

A six-year-old previously healthy girl was seen in an outpatient pediatric clinic in the western United States for thigh pain. The pain was accompanied by an initial fever and was most severe after periods of prolonged rest. During the evaluation, her exam rapidly progressed with severe episodic pain and tenderness of the right anteromedial thigh. Magnetic resonance imaging (MRI) demonstrated signal enhancement at the insertion of the right obturator externus muscle. Blood culture was positive for Group A Streptococcus. She was diagnosed with pyomyositis of the right obturator externus and was successfully treated with antimicrobials. This case demonstrates a rare case of streptococcal pyomyosits, in a temperate climate, without known predisposing factor or injury. We review the epidemiology of streptococcal pyomyositis in temperate climates and discuss the presentation of pyomyositis in children.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Group A Streptococcal Pyomyositis in a Previously Healthy Six-year-old Girl

Tawfik

Hobson

2018

Cureus

View full text Add to dashboard Cite

show abstract

“…Another approach is to start treatment with broad-spectrum antibiotics as we did in all our cases and as was suggested by Verma. 3 For MRSA (demonstrated or epidemiologically suspected), clindamycin (alone or associated with cloxacillin or amikacin) is recommended. 3 Vancomycin, teicoplanin, or linezolid are required in cases of clindamycinresistant MRSA.…”

Section: Discussionmentioning

confidence: 99%

“…3 For MRSA (demonstrated or epidemiologically suspected), clindamycin (alone or associated with cloxacillin or amikacin) is recommended. 3 Vancomycin, teicoplanin, or linezolid are required in cases of clindamycinresistant MRSA. 3 When group A streptococci are isolated, treatment should be changed to benzyl penicillin.…”

Section: Discussionmentioning

confidence: 99%

Primary Pyomyositis as Unusual Cause of Limp: Three Cases in Immunocompetent Children and Literature Review

Drovandi

Trapani

Richichi

et al. 2017

J Pediatr Infect Dis

View full text Add to dashboard Cite

Pyomyositis (PM) is an uncommon primary skeletal muscle infection caused mainly by Staphylococcus aureus that is characterized by single or multiple intramuscular abscess formation. In our ward, between 2013 and 2015, three children (two females and one male) aged from 2 to 12 years were diagnosed and treated for PM. Patients' medical records and imaging studies were examined retrospectively. All patients, otherwise healthy, complained of limp, fever, and severe lower limb pain. Skin scratch lesions were detected in two cases; one of them showed an edematous appearance of the affected area. Multifocal bilateral abscesses of gemini and gastrocnemius were detected in the youngest patient; right obturator and iliac muscles were affected in the second patient; and right gluteus and pyriform muscles were involved in the third patient. All patients showed elevated acute phase reactants and had normal serum creatinine kinase levels. Blood cultures and polymerase chain reaction (PCR) investigations were negative in all cases. Magnetic resonance imaging (MRI) findings included muscle enlargement, deep fascia, high signal in subcutaneous tissues, and postgadolinium abscess formation. No patient required surgical or percutaneous drainage. All three were treated conservatively with intravenous oxacillin, associated with ceftriaxone in the first patient and ceftazidime in the other two, followed by oral antibiotic therapy for a period ranging from 5 to 6 weeks. Pyomyositis must be considered as an unusual cause of limp in children of all ages. When promptly diagnosed and adequately treated, it has a favorable outcome without relapses or sequelae as occurred in all our patients.

show abstract

“…La demora del diagnóstico y del inicio del tratamiento se asocia con una mayor morbimortalidad. 2 Se presenta el caso clínico de un varón de 8 años con una piomiositis aguda por Streptococcus pyogenes, germen poco frecuente para esta entidad, en una localización inusual, como es el músculo piriforme.…”

Section: Piomiositis Del Músculo Piriforme Por Streptococcus Pyogenesunclassified

Piomiositis del músculo piriforme por Streptococcus pyogenes en un niño

Barrionuevo

Santander

2019

Arch Argent Pediat

View full text Add to dashboard Cite

RESUMENLa piomiositis aguda es una infección supurativa del músculo esquelético. El agente etiológico más frecuente es Staphylococcus aureus, y son infrecuentes los casos producidos por Streptococcus pyogenes. Las localizaciones más habituales son cuádriceps, glúteos e iliopsoas; es excepcional la afectación del músculo piriforme. Se presenta el caso de un varón de 8 años, previamente sano, que fue ingresado en nuestro hospital por una piomiositis aguda por Streptococcus pyogenes localizada en el músculo piriforme. El diagnóstico y el inicio precoz del tratamiento antibiótico permitieron el manejo conservador del cuadro y no fue necesaria la cirugía. La evolución fue satisfactoria y no presentó secuelas. ABSTRACTAcute pyomyositis is a suppurative infection of the skeletal muscle. Staphylococcus aureus is the most frequent etiological agent. Cases produced by Streptococcus pyogenes are uncommon. The most usual locations are quadriceps, buttocks and iliopsoas. The involvement of the piriformis muscle is very exceptional. We present the case of a previously healthy 8-year-old male who was admitted to our hospital for acute pyomyositis caused by Streptococcus pyogenes located in the piriformis muscle. Early diagnosis and prompt initiation of antibiotic treatment allowed the conservative management of the condition, and surgery was not necessary. The evolution was satisfactory without sequels. Cómo citar: García Barrionuevo C, Croche Santander B. Piomiositis del músculo piriforme por Streptococcus pyogenes en un niño. Arch Argent Pediatr 2019;117(2):e167-e169.

show abstract

Pyomyositis in Children

Cited by 41 publications

References 43 publications

Group A Streptococcal Pyomyositis in a Previously Healthy Six-year-old Girl

Group A Streptococcal Pyomyositis in a Previously Healthy Six-year-old Girl

Primary Pyomyositis as Unusual Cause of Limp: Three Cases in Immunocompetent Children and Literature Review

Piomiositis del músculo piriforme por Streptococcus pyogenes en un niño

Contact Info

Product

Resources

About