Pyomyositis mistaken for septic hip arthritis in children: the role of MRI in diagnosis and management

Shuler, Franklin D.; Buchanan, Grant; Stover, Cody A.; Johnson, Brock; Modarresi, Milad; Jasko, John J.

doi:10.18590/mjm.2018.vol4.iss2.5

Cited by 6 publications

(2 citation statements)

References 5 publications

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“…Furthermore, recent articles have shown that this entity is not limited to immunocompetent patients [5]. MRI is a promising modality for the detection of this disorder and exclusion of other diseases such as septic arthritis [6].…”

Section: Discussionmentioning

confidence: 99%

Primary Pyomyositis: Contact Sports as the Rare Risk Factors

Amoozgar

Kaushal

Garsondiya

2019

Case Reports in Infectious Diseases

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Primary pyomyositis is an infectious disorder that mostly involves children and adults. Direct injury to the muscle or any traumatic process that can cause bacteremia has been described as the common risk factor. Contact sports without direct contusion or injury to the muscle is an uncommon culprit for the manifestation of this disease. In our case, a young male athlete presented to the emergency room with vague signs and symptoms including right leg muscle pain and fever. He denied any direct injury or contusion of the muscle. CT scan was done and showed edematous gluteus minimus muscle. MRI as one of the best tools for investigating soft tissues was done and exhibited myositis. Blood culture became positive for the methicillin-susceptible Staphylococcus aureus. Appropriate antibiotics were started, and the patient condition was improved. Considering prominent risk factors, early diagnosis and treatment of pyomyositis are major key factors for the management of these infectious conditions as it may cause loss of the limb or even result in mortality.

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Section: Discussionmentioning

confidence: 99%

Primary Pyomyositis: Contact Sports as the Rare Risk Factors

Amoozgar

Kaushal

Garsondiya

2019

Case Reports in Infectious Diseases

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“…For example, just one decade ago, pericapsular hip pyomyositis was considered a tropical infection; however, now it is a common diagnosis in temperate climates. [12][13][14][15][16] At one center, by employing routine fast sequencing MRI, pericapsular hip pyomyositis was found to be twice as common as an isolated septic hip. 12 The distinction of this diagnosis is clinically relevant, as draining an aseptic hip with a sympathetic effusion is not only unnecessary, but also may potentially allow dissemination from the pyomyositis into the intra-articular space.…”

Section: Joint Pain Is Not Always Septic Arthritis-investigate 3-dime...mentioning

confidence: 99%

Pediatric Musculoskeletal Infection - An Update Through the Four Pillars of Clinical Care and Immunothrombotic Similarities With COVID-19

Moore‐Lotridge

Gibson

Duvernay

et al. 2020

Journal of the Pediatric Orthopaedic Society of North America

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Few conditions in pediatric orthopaedics provoke more apprehension than a child with a musculoskeletal infection (MSKI). In addition to potential for devastating complications, the infectious organisms, technology to diagnose MSKI and pharmacology to treat MSKI evolve continuously. For these reasons, it is essential that pediatric orthopaedic surgeons be up to date on the current and future MSKI practices. In this review, current and potential future practices are systematically reviewed categorized by the four main tasks of the care team treating MSKI: determining 1) that location of the infection 2) is it an infection, and if so, what is the organism 3) how severe is the infection and 4) how to treat the infection. Finally, considering current events, the philosophy and tools highlighted for use in MSKI are paralleled in COVID-19 (SARS-CoV-2).

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