[Bacterial pyomyositis in a 12-year-old girl without fever].
Bacterial pyomyositis is generally found in tropical countries. This case report presents pyomyositis in a 12-year-old girl who was admitted without fever to the paediatric department. The only symptom was pain in the left hip. Staphylococcus aureus was cultured from the blood on day 4. Magnetic resonance imaging (MRI) revealed infection in the left m. ileopsoas. Previous ultrasound, computerised tomography, x-ray and bone-scintigraphy were normal. After 11 days of intravenous antibiotic therapy and clinical remission, secondary bone affection was detected by a new MRI. Long-term antibiotic treatment is required in such cases because of the risk of secondary bone affection. This patient was treated for 11 days with intravenous antibiotic therapy and for the subsequent three months with tablets.
Maagaard
Mathilde
M
Juliane Marie Centret, Rigshospitalet, DK-2100 København Ø. mathildemaagaard@hotmail.com
Hindsø
Klaus
K
Wislander
Steen Bo
SB
Holm
Kirsten
K
D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002648:Child; D003937:Diagnosis, Differential; D004009:Dicloxacillin / Q000008:administration & dosage; D005260:Female; D006615:Hip; D006801:Humans; D008279:Magnetic Resonance Imaging; D010146:Pain / Q000175:diagnosis; D017285:Polymyositis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D016659:Psoas Abscess / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D016658:Psoas Muscles / Q000382:microbiology / Q000473:pathology; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D013211:Staphylococcus aureus / Q000302:isolation & purification
D000900:Anti-Bacterial Agents; D004009:Dicloxacillin