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Pyomyositis in a 5-Year-Old Child
Sam Romeo, MD;
Sam Sunshine, MD
Arch Fam Med. 2000;9:653-656.
We present a case of pyomyositis in an otherwise healthy 5-year-old child that underscores the potential for serious, life-threatening complications. Pyomyositis of the gluteal, psoas, and iliacus muscles was associated with osteomyelitis, septic arthritis, a large inferior vena cava thrombus, septic pulmonary emboli, and eventual pneumonia. Primary pyomyositis is a purulent infection of striated muscle thought to be caused by seeding from a transient bacteremia. The focal infection typically forms an abscess that generally responds to intravenous antibiotics and occasionally requires adjunctive computed tomography–guided aspiration and drainage. This localized infectious process rarely produces further sequelae unless treatment is delayed. Pyomyositis is rare in healthy individuals and requires a high clinical suspicion in patients who present with fever, leukocytosis, and localized pain.
From the Department of Family Practice, Kaiser Permanente, Fontana, Calif.
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The Archives of Family Medicine Continuing Medical Education Program
Arch Fam Med. 2000;9(7):639-641.
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Pyomyositis of the iliacus muscle complicated with septic sacroiliitis
Roca and Torres
QJM 2008;101:983-984.
ABSTRACT
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