Pyomyositis of the iliacus muscle - a diagnostic and therapeutic dilemma

Skandalos, Ioannis; Kirmizis, I.; Hotzoglou, N.; Gkampranis, I.; Kotsiou, Maria; Termetzis, G.

doi:10.1007/s13126-014-0133-x

Cited by 2 publications

(3 citation statements)

References 13 publications

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“…Hyperbaric oxygen therapy (HBOT) in the treatment of pyomyositis, is referred only in one case of iliacus muscle pyomyositis with contribution, as an adjunct to antibiotic therapy, to the favorable outcome of the case. 25 Antibiotic therapy optimal duration has not been established. In our case the surgical drainage of abdominal rectus sheath abscess was done under antibiotic therapy simultaneous treatment.…”

Section: Discussionmentioning

confidence: 99%

Abdominal Rectus Muscle Pyomyositis: Report of a Case and Review of the Literature

Fountoukis

Tsatsanidis

Tilkeridou

et al. 2018

Infectious Disease Reports

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Pyomyositis is an uncommon primary bacterial infection of skeletal muscles, usually caused by Staphylococcus aureus. Predisposing factors for pyomyositis include immunodeficiency, trauma, injection drug use, concurrent infection and malnutrition. The diagnosis, staging of the disease and differential diagnosis are established by ultrasound, CT and MRI. Treatment involves surgical drainage and antibiotic therapy. We report a case of abdominal rectus muscle pyomyositis, which constitutes, as far as we know, the second reported in bibliography, while Prevotella disiens is firstly reported as causative agent.

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Section: Discussionmentioning

confidence: 99%

Abdominal Rectus Muscle Pyomyositis: Report of a Case and Review of the Literature

Fountoukis

Tsatsanidis

Tilkeridou

et al. 2018

Infectious Disease Reports

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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 iliacus muscle, which is deep in the pelvic fossa, is rare and often misdiagnosed as septic arthritis of the hip. There have been several reports mainly in children [ 3 ]. Pyomyositis affecting the paraspinal muscles (cervical, thoracic, lumbar, or psoas) is also rare, making up less than 4% of pyomyositis cases.…”

Section: Introductionmentioning

confidence: 99%

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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Pyomyositis of the iliacus muscle - a diagnostic and therapeutic dilemma

Cited by 2 publications

References 13 publications

Abdominal Rectus Muscle Pyomyositis: Report of a Case and Review of the Literature

Abdominal Rectus Muscle Pyomyositis: Report of a Case and Review of the Literature

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

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