title: Sonographic appearance of pyomyositis of the sternocleidomastoid muscle: A case report.
abstract: Pyomyositis in the neck has rarely been described. We present the sonographic findings in a case of pyomyositis of the sternocleidomastoid muscle. A 62-year-old man with poorly controlled diabetes presented with an induration of the neck and fever. On gray-scale sonography, a part of the sternocleidomastoid muscle appeared swollen and contained irregularly shaped hypoechoic areas. Power Doppler imaging showed increased vascularity in the muscle. Sonographic-guided aspiration confirmed abscesses in the sternocleidomastoid muscle. Surgical drainage was successfully performed along with antibiotic treatment. © 2016 Wiley Periodicals, Inc. J Clin Ultrasound 45:520-523, 2017.
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Mie University Graduate School of Medicine, Tsu, Mie, Japan.
authors.forename: Hiroshi
authors.identifier: http://orcid.org/0000-0002-9431-3301
authors.initials: H
authors.lastname: Sakaida
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Mie University Graduate School of Medicine, Tsu, Mie, Japan.
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Matsuda
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Mie University Graduate School of Medicine, Tsu, Mie, Japan.
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Takeuchi
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D004322:Drainage / Q000379:methods*; D006801:Humans; D008297:Male; D000077731:Meropenem; D008875:Middle Aged; D009334:Neck Muscles / Q000000981:diagnostic imaging*; D052880:Pyomyositis / Q000000981:diagnostic imaging* / Q000628:therapy*; D013845:Thienamycins / Q000627:therapeutic use; D016896:Treatment Outcome; D014463:Ultrasonography / Q000379:methods*; D014640:Vancomycin / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D013845:Thienamycins; D014640:Vancomycin; D000077731:Meropenem
keywords: Doppler imaging; musculoskeletal ultrasound; pyomyositis; sternocleidomastoid muscle