Multifocal streptococcal pyomyositis complicated by acute compartment syndrome: case report.
A 5-year-old girl sought treatment for pyrexia of unknown origin. Despite prompt surgical drainage of a streptococcal septic arthritis of the ankle joint, her condition deteriorated. Multifocal pyomyositis was subsequently diagnosed. This was complicated by acute compartment syndrome in three extremities. With aggressive surgical and medical management, the child made a complete recovery. Orthopaedic clinicians in nontropical areas must familiarize themselves with this rare, potentially life-threatening, but eminently curable disease.
Harrington
P
P
Department of Orthopaedics, Leeds General Infirmary, Leeds, UK.
Scott
B
B
Chetcuti
P
P
D000208:Acute Disease; D000868:Anterior Compartment Syndrome / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D002675:Child, Preschool; D003131:Combined Modality Therapy; D003646:Debridement; D003937:Diagnosis, Differential; D004322:Drainage; D005260:Female; D005334:Fever / Q000382:microbiology; D006801:Humans; D007964:Leukocytosis / Q000382:microbiology; D008279:Magnetic Resonance Imaging; D010146:Pain / Q000382:microbiology; D017285:Polymyositis / Q000150:complications* / Q000175:diagnosis; D013290:Streptococcal Infections / Q000150:complications* / Q000175:diagnosis; D013297:Streptococcus pyogenes; D013492:Suppuration
D000900:Anti-Bacterial Agents