Clinical characteristics of Staphylococcal pyomyositis.
Pyomyositis is common in the tropics but rarely reported in temperate climates. This disease may give rise to obscure, non-specific, or misleading signs and symptoms. Delayed diagnosis and treatment may lead to death. The most common pathogen is Staphylococcus aureus. We analyzed 8 cases treated in the Tri-Service General Hospital between 1989 and 2001. There were 3 males and 5 females with age ranging from 2 to 66 years. Fever was found in all patients. The mean time lag between the onset of minor symptoms and diagnosis was 10 days. The imaging tools used included sonography, gallium-67 scan, computed tomography, and magnetic resonance imaging. Early application of sonography to any suspected lesions can help to establish diagnosis. All 8 patients recovered smoothly without complications after incision, drainage, and administration of adequate antibiotics for 2 to 4 weeks.
Fan
Hueng-Chuen
HC
Department of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
Lo
Wen-Tsung
WT
Chu
Mong-Ling
ML
Wang
Chih-Chien
CC
D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D002675:Child, Preschool; D005260:Female; D005334:Fever / Q000628:therapy; D006801:Humans; D008297:Male; D009220:Myositis / Q000175:diagnosis* / Q000188:drug therapy; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D013211:Staphylococcus aureus / Q000378:metabolism / Q000472:pathogenicity; D013997:Time Factors; D016896:Treatment Outcome; D014463:Ultrasonography
D000900:Anti-Bacterial Agents