Sudden myositis of the posterior cervical muscular compartment. Case report.
An atypical case of deep neck infection is presented with muscular involvement as the main feature. Streptococcus pyogenes was the causal agent and abrupt haemodynamic impairment and severe systemic failure characterized its clinical course, requiring emergency surgical examination and subsequent admission to the critical care unit. After the diagnosis of streptococcal myositis was obtained and the antibiotic treatment adjusted, the patient progressively recovered completely.
Pujol Olmo
Albert
A
Servei d'Otorinolaringologia, Hospital de Sant Pau i de la Santa Creu, Barcelona, Catalunya, España. apujolo@santpau.cat
Piñeiro Aguín
Zenaida
Z
Virós Porcuna
David
D
Zarraonandia Andraca
Iñaki
I
Quer Agustí
Miquel
M
D000208:Acute Disease; D000369:Aged, 80 and over; D002981:Clindamycin / Q000008:administration & dosage / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003646:Debridement; D004322:Drainage; D004359:Drug Therapy, Combination; D004630:Emergencies; D019115:Fasciitis, Necrotizing / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D000077731:Meropenem; D009220:Myositis / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D009334:Neck Muscles / Q000382:microbiology* / Q000601:surgery; D010406:Penicillins / Q000008:administration & dosage / Q000627:therapeutic use; D006435:Renal Dialysis; D012772:Shock, Septic / Q000209:etiology* / Q000628:therapy; D013290:Streptococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D013297:Streptococcus pyogenes / Q000187:drug effects / Q000302:isolation & purification*; D013845:Thienamycins / Q000627:therapeutic use; D014640:Vancomycin / Q000627:therapeutic use
D010406:Penicillins; D013845:Thienamycins; D002981:Clindamycin; D014640:Vancomycin; D000077731:Meropenem