Anterior tibial compartment syndrome due to the pyomyositis in a patient with rheumatoid arthritis. A case report.
Anterior tibial compartment syndrome was developed due to pyomyositis in a 33-year-old male patient with rheumatoid arthritis while receiving steroid therapy during the follow-up period. The preoperative physical examination, laboratory findings, MRI images, intraoperative observation and postoperative histopathological examinations confirmed the association with pyomyositis. The surgical drainage and antibiotic treatment were effective, and in the follow-up period, neuromuscular dysfunctions disappeared completely within 6 months. The patient has been asymptomatic for 4 years of follow-up. To date, anterior tibial compartment syndrome due to pyomyositis in a case with rheumatoid arthritis has not been reported.
Aynaci
Osman
O
Karadeniz Technical University, Department of Orthopaedic Surgery, Trabzon 61080, Turkey. fmaynaci@dr.com
Onder
Cetin
C
Kalaycioglu
Ahmet
A
D000328:Adult; D000868:Anterior Compartment Syndrome / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D018501:Antirheumatic Agents / Q000627:therapeutic use; D001172:Arthritis, Rheumatoid / Q000150:complications* / Q000188:drug therapy; D001379:Azathioprine / Q000627:therapeutic use; D002437:Cefazolin / Q000627:therapeutic use; D002444:Cefuroxime / Q000627:therapeutic use; D003646:Debridement; D004322:Drainage; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009220:Myositis / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D011859:Radiography; D013492:Suppuration; D013977:Tibia / Q000473:pathology
D000900:Anti-Bacterial Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal; D018501:Antirheumatic Agents; D002437:Cefazolin; D001379:Azathioprine; D002444:Cefuroxime