Pyomyositis of the leg with early neurologic compromise.
Pyomyositis, although uncommon, is being reported with greater frequency in temperate climates. The presentation is similar to a number of infectious processes, and when associated with a traumatic event, the clinical picture may be confused with that of a musculoskeletal injury. This, coupled with an unfamiliarity of the disease, may result in a delay in diagnosis. Early antibiotic therapy may obviate surgery. Progression to the suppurative stage requires surgical drainage along with antibiotics. CT guided drainage may be accomplished in certain cases. In immunocompromised patients, progression to the septicemic stage is associated with high morbidity and mortality.
Bibbo
C
C
Department of Orthopaedic Surgery, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark, USA. bibboch@all-tell.net
Patel
D V
DV
Mackessy
R P
RP
Lin
S S
SS
Barricella
R L
RL
D016512:Ankle Injuries / Q000150:complications*; D001706:Biopsy; D002648:Child; D003131:Combined Modality Therapy; D003161:Compartment Syndromes / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D003646:Debridement; D019299:Decompression, Surgical; D003951:Diagnostic Errors; D018450:Disease Progression; D004638:Emergency Treatment / Q000379:methods*; D005260:Female; D006801:Humans; D009220:Myositis / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D009254:Nafcillin / Q000627:therapeutic use; D009336:Necrosis; D010019:Osteomyelitis / Q000175:diagnosis; D010406:Penicillins / Q000627:therapeutic use; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D013492:Suppuration; D013669:Technetium Tc 99m Medronate
D010406:Penicillins; D009254:Nafcillin; D013669:Technetium Tc 99m Medronate