title: Pancarditis: a rare complication of tropical pyomyositis.
abstract: Tropical pyomyositis is a bacterial infection of the skeletal muscles leading to abscess formation, occurring in the tropical areas, often following minor trauma. We report a case of pancarditis as the direct complication of pyomyositis in a 10-year-old girl who presented with painful swelling of her right thigh, high grade fever and impaired consciousness. Echocardiography showed pericardial effusion with strands and a large vegetation in the left ventricle cavity. She was treated successfully with open heart surgical drainage and intravenous antibiotics. We emphasize early diagnosis and prompt treatment of pyomyositis to reduce its associated mortality and morbidities.
authors.affiliation: Department of Paediatric Cardiology, Armed Forces Institute of Cardiology, National Institute of Heart Diseases, Rawalpindi. khurramadiba@gmail.com
authors.forename: Khurram
authors.initials: K
authors.lastname: Akhtar
authors.forename: Mehboob
authors.initials: M
authors.lastname: Sultan
authors.forename: Hajra
authors.initials: H
authors.lastname: Akbar
authors.forename: Waqar
authors.initials: W
authors.lastname: Ahmed
authors.forename: Nadeem
authors.initials: N
authors.lastname: Sadiq
authors.forename: Kamal
authors.initials: K
authors.lastname: Saleem
authors.forename: Shahid
authors.initials: S
authors.lastname: Nafees
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006348:Cardiac Surgical Procedures / Q000379:methods; D002648:Child; D004322:Drainage / Q000379:methods; D015150:Echocardiography, Doppler; D005260:Female; D005500:Follow-Up Studies; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D006801:Humans; D008943:Mitral Valve / Q000601:surgery*; D009205:Myocarditis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D010154:Pakistan; D052880:Pyomyositis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D035583:Rare Diseases; D018570:Risk Assessment; D012720:Severity of Illness Index; D013203:Staphylococcal Infections / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents