Primary pyomyositis in a child.
Pyomyositis is a term used to denote primary pyogenic infection of the skeletal muscle. Striped muscle tissue is normally resistant to bacterial infection; pyomyositis is very rare. Primary pyomyositis is a purulent infection of striated muscle that is thought to be caused by seeding from a transient bacteremia. Pyomyositis should be considered in the differential diagnosis of septic-appearing children as well as children complaining of joint pain or muscle aches. The diagnosis can be aided by either a computed tomography or magnetic resonance imaging scan. If the patient does not respond quickly to antibiotics and surgical intervention, there is either a recurrence of the previously debrided abscess or an unrecognized secondary abscess. Here, we present a case of primary pyomyositis of the iliacus muscle that might be due to severe pneumonia in a five-year-old child.
Taksande
Amar
A
Department of Pediatrics, Mahatma Gandhi Institute of Medical Science, Sewagram, Wardha, India. amar_bharti2000@yahoo.co.uk
Vilhekar
Krishna
K
Gupta
Sapna
S
D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D018482:Muscle, Skeletal / Q000382:microbiology / Q000473:pathology; D052880:Pyomyositis / Q000175:diagnosis* / Q000188:drug therapy; D013203:Staphylococcal Infections / Q000175:diagnosis*; D013211:Staphylococcus aureus / Q000302:isolation & purification; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents