Piriformis pyomyositis with sciatica: an unrecognized complication of "unsafe" abortions.
We report the case of a patient who presented with right sciatic pain as a manifestation of piriformis muscle syndrome 1 month after a clandestine- induced abortion. MRI revealed the presence of a piriformis abscess. Staphylococcus aureus was isolated from blood cultures and from the purulent material obtained by CT-guided aspiration. Piriformis pyomyositis should be recognized as a potential complication of "unsafe" abortions that if left untreated could progress to sepsis and death.
Colmegna
Ines
I
Section of Rheumatology, Louisiana State University Health Sciences Center, New Orleans, Louisiana 70112, USA.
Justiniano
Maria
M
Espinoza
Luis R
LR
Gimenez
Carlos R
CR
D000028:Abortion, Induced / Q000009:adverse effects*; D000038:Abscess / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy; D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008279:Magnetic Resonance Imaging; D052880:Pyomyositis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000150:complications* / Q000188:drug therapy; D013211:Staphylococcus aureus / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents