title: Calcific myonecrosis of the leg: report of three patients presenting with infection.
abstract: BACKGROUND
  Calcific myonecrosis is a rare late complication of trauma, affecting almost exclusively the lower limb. Its radiologic appearance is characteristic. Superimposed infection usually is a sequela of biopsy.
  
  
  METHODS
  We present three patients, one with bilateral involvement, who presented with calcific myonecrosis and spontaneous infection. Three infections were attributable to a single microorganism: Enterobacter cloacae, Staphylococcus hominis, and S. haemolyticus were recovered. Multiple microorganisms were responsible in the other case. Treatment consisted of radical surgical debridement and antibiotics. The incision was closed over a suction drain, where possible, or left open to close by secondary intention.
  
  
  CONCLUSIONS
  Calcific myonecrosis may present as infection without any obvious precipitating factor, and it should be included in the differential diagnosis in cases of soft tissue infection of the leg.
authors.affiliation: Orthopedic Department, Hellenic Red Cross Hospital, Athens, Greece. papanika@otenet.gr
authors.forename: Athanassios
authors.initials: A
authors.lastname: Papanikolaou
authors.forename: Maria
authors.initials: M
authors.lastname: Chini
authors.forename: Dimitris
authors.initials: D
authors.lastname: Pavlakis
authors.forename: Athina
authors.initials: A
authors.lastname: Lioni
authors.forename: Marios
authors.initials: M
authors.lastname: Lazanas
authors.forename: John
authors.initials: J
authors.lastname: Maris
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002114:Calcinosis; D003646:Debridement; D016972:Enterobacter cloacae / Q000302:isolation & purification; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D006801:Humans; D007866:Leg / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009220:Myositis / Q000150:complications* / Q000473:pathology*; D009336:Necrosis; D041162:Staphylococcus haemolyticus / Q000302:isolation & purification; D041181:Staphylococcus hominis / Q000302:isolation & purification; D014947:Wounds and Injuries / Q000150:complications
chemical_list: D000900:Anti-Bacterial Agents