title: [Pseudoseptical myositis ossificans in spinal cord injuried patients].
abstract: BACKGROUND
  Neurogenic myositis ossificans or para-osteo-arthropathy are part of heterotopic ossifications. They concern mostly spinal cord injured or cerebral injured patients. They mostly target the hip and can lead to local or general inflammatory signs which can mimic severe sepsis. We detail the frequent septic like symptomatology and the relevance of echography to make the diagnosis and to start adapted therapy.
  
  
  METHODS
  We conducted a retrospective study from seven patients hospitalized in infectious disease department for suspicion of septical myositis and we compared this cohort with available data.
  
  
  RESULTS
  They all have inflammatory syndrome and radiological signs. Diagnosis can be made early by echography, MRI or tomodensitometry. X-ray signs are delayed.
  
  
  CONCLUSIONS
  Myositis ossificans can have a septical presentation but therapy is, at first, medical with non steroid anti inflammatory drugs and no antibiotic therapy.
authors: CHU Raymond-Poincaré, Unité des maladies infectieuses, 92380 Garches, France.
authors: Fabien
authors: F
authors: Naar
authors: Aurélien
authors: A
authors: Dinh
authors: François
authors: F
authors: Genet
authors: Jérôme
authors: J
authors: Salomon
authors: Robert
authors: R
authors: Carlier
authors: Louis
authors: L
authors: Bernard
mesh_terms: D000328:Adult; D015331:Cohort Studies; D018450:Disease Progression; D005260:Female; D006615:Hip / Q000000981:diagnostic imaging; D006760:Hospitalization; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009221:Myositis Ossificans / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D012189:Retrospective Studies; D018805:Sepsis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D013116:Spinal Cord / Q000000981:diagnostic imaging; D013119:Spinal Cord Injuries / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D014057:Tomography, X-Ray Computed