Pyomyositis of the piriformis muscle presenting with sciatica in a teenage rugby player.
The authors report a rare case of piriformis pyomyositis, in a teenage rugby player, who was initially feverish and presented to us with low back pain, sciatica and inability to mobilise due to pain. Subsequent imaging investigations (MRI scan) revealed abscess formation in the piriformis muscle with compression effect on the ipsilateral sciatic nerve. A course of intravenous antibiotic therapy followed by oral antibiotics fully resolved his symptoms and returned inflammatory markers back to normal.
Trauma and Orthopaedics Department, NHS Ayrshire and Arran, Ayr, UK. dia.giebaly@doctors.org.uk
Dia Eldean
DE
Giebaly
Sam
S
Horriat
Aabha
A
Sinha
Singu
S
Mangaleshkar
D000038:Abscess / Q000473:pathology*; D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D005436:Floxacillin / Q000008:administration & dosage; D005538:Football; D006801:Humans; D017116:Low Back Pain / Q000188:drug therapy* / Q000209:etiology; D008279:Magnetic Resonance Imaging; D008297:Male; D000077731:Meropenem; D010146:Pain / Q000188:drug therapy*; D055958:Piriformis Muscle Syndrome / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D052880:Pyomyositis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D012293:Rifampin / Q000008:administration & dosage; D012585:Sciatica / Q000188:drug therapy / Q000209:etiology*; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000188:drug therapy; D013211:Staphylococcus aureus / Q000302:isolation & purification; D013845:Thienamycins / Q000008:administration & dosage; D014640:Vancomycin / Q000008:administration & dosage
D000900:Anti-Bacterial Agents; D013845:Thienamycins; D005436:Floxacillin; D014640:Vancomycin; D000077731:Meropenem; D012293:Rifampin