[Neck pyomyositis associated with polymicrobial sepsis of sinusal origin].
Spontaneous pyomyositis (primary pyomyositis) is an infrequent disease in non-tropical countries, caused by bacterial infection of skeletal muscle. Although pyomyositis is associated in many cases to septicemia, the occurrence of that disease as a secondary manifestation of bacteremia is very unusual, requiring a high-grade index of suspicion to diagnose it in the early stages. We present one case of cervical pyomyositis, caused by Fusobacterium necrophorum and group F streptococcus, during the course of a sepsis of sinusal origin, that was treated without surgical therapy. This so uncommon form of presentation of Fusobacterium septicemia, its diagnosis and treatment are discussed.
Toral Revuelta
J R
JR
Servicio de Medicina Interna, Hospital del Aire, Madrid.
Llobell Seguí
G
G
Peralba Vañó
J I
JI
Martínez Ruiz
M
M
D000328:Adult; D005674:Fusobacterium Infections / Q000175:diagnosis / Q000628:therapy; D005675:Fusobacterium necrophorum; D006801:Humans; D008297:Male; D015523:Maxillary Sinusitis / Q000150:complications*; D009220:Myositis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D009333:Neck; D013290:Streptococcal Infections / Q000175:diagnosis / Q000628:therapy
Piomiositis cervical asociada a sepsis polimicrobiana de origen sinusal.