BACKGROUND Pyomyositis generally occurs in otherwise healthy young men.Because this condition is unusual among otherwise healthy women in temperate climates,we present the following case.CASE SUMMARY An otherwise heal...BACKGROUND Pyomyositis generally occurs in otherwise healthy young men.Because this condition is unusual among otherwise healthy women in temperate climates,we present the following case.CASE SUMMARY An otherwise healthy 43-year-old woman presented with bilateral pain in her lower extremities and fever.Magnetic resonance imaging(MRI)findings were indicative of myositis with a possible abscess.We initiated empirical antibiotic therapy with ceftriaxone.However,the swelling and pain in her legs persisted even after 7 d of treatment.Contrast MRI revealed multiple pockets of pus in the vastus lateralis and gluteal muscles.We performed needle aspiration of these abscesses with ultrasound guidance and local anesthesia.Upon culturing,the purulent material was positive for Staphylococcus aureus.We diagnosed her with S.aureus-induced pyomyositis of the vastus lateralis muscle and gluteus region.Based on the antibiotic sensitivity report,ceftriaxone was administered for an additional 7 d.By day 15 post-drainage,the patient was able to start walking.Oral antibiotic therapy was continued for 1 wk following her discharge from hospital,after which her symptoms resolved completely.CONCLUSION Pyomyositis may present with muscle pain,swelling,and fever.Ultrasoundguided percutaneous puncture and drainage may enable timely diagnosis and treatment.展开更多
Tropical pyomyositis is an underdiagnosed condition.We reported a 35 year old male farmer,who presented with septicemia and acute respiratory distress syndrome due to pyomyositis involving the paraspinal muscles.Cultu...Tropical pyomyositis is an underdiagnosed condition.We reported a 35 year old male farmer,who presented with septicemia and acute respiratory distress syndrome due to pyomyositis involving the paraspinal muscles.Culture of the pus grew methicillin sensitive Staphylococcus aureus, and the patient recovered after surgical drainage and antibiotic treatment Diagnostic delays can be avoided if tropical pyomyositis is considered as a differential diagnosis in patients with septicemia.展开更多
Introduction: Tropical pyomyositis refers to bacterial infection that affects skeletal muscles causing single or multiple abscesses filled with pus. Aim: The study seeks to find out the effectiveness in the use of pri...Introduction: Tropical pyomyositis refers to bacterial infection that affects skeletal muscles causing single or multiple abscesses filled with pus. Aim: The study seeks to find out the effectiveness in the use of primary closure and vacuum drainage in the treatment of pyomyositis. Materials and Methods: The study was conducted between March 1, 2007 and February 28, 2014 at the Komfo Anokye Teaching Hospital, Kumasi, Ghana on patients with pyomyositis. Results: Seventy-seven patients comprising 58 (75.32%) males and 19 (24.68%) females were included in the study with their ages ranging from 15 to 68 years. There was improvement in patient’s healing outcome. Conclusion: Primary wound closure and vacuum drainage provides patients with much satisfaction and better outcome as well and it is also effective.展开更多
文摘BACKGROUND Pyomyositis generally occurs in otherwise healthy young men.Because this condition is unusual among otherwise healthy women in temperate climates,we present the following case.CASE SUMMARY An otherwise healthy 43-year-old woman presented with bilateral pain in her lower extremities and fever.Magnetic resonance imaging(MRI)findings were indicative of myositis with a possible abscess.We initiated empirical antibiotic therapy with ceftriaxone.However,the swelling and pain in her legs persisted even after 7 d of treatment.Contrast MRI revealed multiple pockets of pus in the vastus lateralis and gluteal muscles.We performed needle aspiration of these abscesses with ultrasound guidance and local anesthesia.Upon culturing,the purulent material was positive for Staphylococcus aureus.We diagnosed her with S.aureus-induced pyomyositis of the vastus lateralis muscle and gluteus region.Based on the antibiotic sensitivity report,ceftriaxone was administered for an additional 7 d.By day 15 post-drainage,the patient was able to start walking.Oral antibiotic therapy was continued for 1 wk following her discharge from hospital,after which her symptoms resolved completely.CONCLUSION Pyomyositis may present with muscle pain,swelling,and fever.Ultrasoundguided percutaneous puncture and drainage may enable timely diagnosis and treatment.
文摘Tropical pyomyositis is an underdiagnosed condition.We reported a 35 year old male farmer,who presented with septicemia and acute respiratory distress syndrome due to pyomyositis involving the paraspinal muscles.Culture of the pus grew methicillin sensitive Staphylococcus aureus, and the patient recovered after surgical drainage and antibiotic treatment Diagnostic delays can be avoided if tropical pyomyositis is considered as a differential diagnosis in patients with septicemia.
文摘Introduction: Tropical pyomyositis refers to bacterial infection that affects skeletal muscles causing single or multiple abscesses filled with pus. Aim: The study seeks to find out the effectiveness in the use of primary closure and vacuum drainage in the treatment of pyomyositis. Materials and Methods: The study was conducted between March 1, 2007 and February 28, 2014 at the Komfo Anokye Teaching Hospital, Kumasi, Ghana on patients with pyomyositis. Results: Seventy-seven patients comprising 58 (75.32%) males and 19 (24.68%) females were included in the study with their ages ranging from 15 to 68 years. There was improvement in patient’s healing outcome. Conclusion: Primary wound closure and vacuum drainage provides patients with much satisfaction and better outcome as well and it is also effective.
