title: [Pyomyositis of the M. quadriceps femoris in an 8-month-old boy following pneumococcal meningitis].
abstract: An 8-month-old boy developed pyomyositis of the M. quadriceps femoris following meningitis caused by Streptococcus pneumoniae. The child had no underlying immune defect. Conservative treatment with antibiotics led to complete clinical and radiological resolution of the infection. In Europe, pyomyositis is rarely seen in children. Pyomyositis should be considered in the differential diagnosis in children with fever and complaints of joint pain or myalgia. Ultrasound and MRI are helpful techniques for establishing the diagnosis and for differentiating pyomyositis from other pathological conditions. Treatment consists of adequate antibiotics and in some cases drainage.
authors.affiliation: Academisch Medisch Centrum/Universiteit van Amsterdam, locatie Emma Kinderziekenhuis, Meibergdreefg, I105 AZ Amsterdam. r.p.berg@amc.uva.nl
authors.forename: R P
authors.initials: RP
authors.lastname: Berg
authors.forename: A M J B
authors.initials: AM
authors.lastname: Smets
authors.forename: D K
authors.initials: DK
authors.lastname: Bosman
authors.forename: P P
authors.initials: PP
authors.lastname: Besselaar
mesh_terms: D003937:Diagnosis, Differential; D006801:Humans; D007223:Infant; D008297:Male; D008586:Meningitis, Pneumococcal / Q000150:complications*; D018482:Muscle, Skeletal / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000473:pathology; D009220:Myositis / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D014463:Ultrasonography