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Pyomyositis, accompanied by aseptic arthritis, has been previously documented in several publications. However, none of the authors in the mentioned case reports offered a pathophysiological explanation for this unusual phenomenon or proposed a treatment protocol. We present a case of a healthy, 70-year-old male who was presented to the emergency department 4 days after tripping over a pile of wooden planks and getting stabbed by a nail to his thigh.
View Article and Find Full Text PDFInvasive pneumococcal disease serotype 23B1 causing multifocal septic arthritis, myositis and retroperitoneal abscess.
BMJ Case Rep
January 2024
Infectious Diseases, Austin Health, Heidelberg, Victoria, Australia.
We describe a case of a previously healthy unvaccinated man in his 70s who developed penicillin-susceptible bacteraemic invasive pneumococcal disease due to non-vaccine serotype 23B with the unusual manifestations of multifocal myositis, intramuscular abscesses, polyarticular septic arthritis and synovitis. Blood cultures drawn prior to antibiotic therapy and culture of iliopsoas collection were helpful in making the diagnosis. At follow-up, he had persistent hip pain attributed to avascular necrosis of the head of femur, a possible late complication of his pyomyositis.
View Article and Find Full Text PDFBilateral thigh pyomyositis in an otherwise healthy middle-aged woman: A case report.
World J Clin Cases
September 2023
Department of Thoracic Surgery, Qingdao Hiser Hospital Affiliated to Qingdao University, Qingdao 266000, Shandong Province, China.
Background: Pyomyositis generally occurs in otherwise healthy young men. Because this condition is unusual among otherwise healthy women in temperate climates, we present the following case.
Case Summary: An otherwise healthy 43-year-old woman presented with bilateral pain in her lower extremities and fever.
Pyomyositis associated with abscess formation caused by streptococcus pneumoniae in children: a case report and review of literature.
Ital J Pediatr
June 2023
Paediatrics Unit, Santa Maria Nuova Hospital, AUSL-IRCCS of Reggio Emilia, Reggio Emilia, 42123, Italy.
Background: Pyomyositis is an unusual bacterial infection but potential severe in children. Staphylococcus Aureus is the main caused of this disease (70-90%), following by Streptococcus Pyogenes (4-16%). Streptococcus Pneumoniae rarely caused invasive muscular infections.
View Article and Find Full Text PDFGram negative pyomyositis: Two case reports and a review of the literature.
IDCases
February 2023
Division of Infectious Diseases, Mayo Clinic Rochester Minnesota, United States of America.
Pyomyositis due to Gram negative bacteria is rare. Here we describe two cases in immunocompromised hosts Both were bacteremic with a Gram-negative bacterium and had impaired immunity related to prolonged and ongoing chemotherapy for hematologic malignancies. Both eventually cleared the infection with a combination of local drainage and systemic antibiotics.
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