2021, Number 1
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Acta Ortop Mex 2021; 35 (1)
Tropical pyomyositis of the iliacus, obturator internus, piriformis and psoas major muscles in an immunocompetent patient with claudication
Sánchez-Rodríguez H, Morales-Ávalos R, Rivera-Zarazúa S, Ramírez-Elizondo M, Hernández-Rodríguez P, Vílchez-Cavazos F, Peña-Martínez V
Language: Spanish
References: 16
Page: 80-84
PDF size: 178.17 Kb.
ABSTRACT
Introduction: Pyomyositis is a term that denotes pyogenic infection usually primary skeletal muscle, associated with hematogenous dispersion due to transient bacteremia, or penetrating trauma, usually forming abscesses. Classically described frequently in tropical areas and predominantly affecting the lower limb musculature, however, in recent decades it has increasingly been associated with areas of temperate climates and relatively more frequently in immunosuppressed patients, being the patients under 30 years the most affected.
Clinical case: Male of 15 years without relevant medical history. The patient had no history of trauma, falls, surgical interventions, infections or any other systemic condition. He came because of a clinical picture of 7 days of evolution characterized by pain referred to the groin and left iliac crest area associated with claudication and hyperthermia not quantified, which yielded partially to NSAIDs and paracetamol, but without achieving improvement so it is taken emergency by relatives.
Conclusions: It is necessary to bear in mind this pathology when performing the differential diagnostic approach of a patient presenting with pain and functional limitation of some joint associated with data suggestive of an infectious or inflammatory process.
REFERENCES
Gravot F, Hébert J, Robert-Dehault A, Bouttier R, Le Gall F, Blondin G, et al. Pyomyositis in children: two cases of Staphylococcus aureus infection. Arch Pediatr. 2017; 24 (10): 995-9.
Elzohairy MM, Primary pyomyositis in children. Orthopaedics and Traumatology: Surgery and Research. 2018; 104 (3): 397-403. Available in: https://doi.org/1016/j.otsr.2017.12.005.
Chotai PN, Hsaiao MS, Pathak I, Banh D, Abdou M, Abdelgawad AA. Pediatric pelvic pyomyositis: Initial MRI can be misleading. J Pediatr Orthop B. 2016; 25 (6): 520-4. doi: 10.1097/bpb.0000000000000295.
Kattimani R, McConnell J, Waite J. Pyomyositis of gluteus medius: a case report and review of the literature. J Orthop Case Rep. 2017; 7 (4): 48-50.
http://cuentame.inegi.org.mx/monografias/informacion/nl/territorio/clima.aspx?tema=me&e=19.
Hossain A, Reis ED, Soundararajan K, Kerstein MD, Hollier LH. Nontropical pyomyositis: analysis of eight patients in an urban center. Am Surg. 2000; 66: 1064-6.
Lemonick DM. Non-tropical pyomyositis caused by methicillin-resistant Staphylococcus aureus : an unusual cause of bilateral leg pain. J Emerg Med. 2012; 42 (3): e55-62.
Marimuthu VKN, Midha G, Mukhopadhyay C, Saravu K. Tropical pyomyositis: outcomes and clinical profile. Int J Infect Dis [Internet]. 2016; 45: 142-3.
Small LN, Ross JJ. Tropical and temperate pyomyositis. Infect Dis Clin North Am. 2005; 19: 981-9.
Chauhan S, Jain S, Varma S, Chauhan SS. Tropical pyomyositis (myositis tropicans): current perspective. Postgrad Med J. 2004; 80: 267-70.
Gibson RK, Rosenthal SJ, Lukert BP. Pyomyositis: increasing recognition in temperate climates. Am J Med. 1994; 77: 768-72.
Crum NF, Persons H. Bacterial pyomyositis in the United States. Am J Med. 2004; 117 (6): 420-8.
Chiedozi LC. Pyomyositis: review of 205 cases in 112 patients. Am J Surg. 1979; 137 (2): 255-9.
Kiran M, Mohamed S, Newton A, George H, Garg N, Bruce C. Pelvic pyomyositis in children: changing trends un ocurrence and management. Int Orthop. 2018; 42 (5): 1143-7.
Saeed K, Gould I, Esposito S, Saeed N. Panton-Valentine leukocidin-positive Staphylococcus aureus: a position statement from the International Society of Chemotherapy. Int J Antimicrob Agents. 2018; 51 (1): 16-25.
Ticse R, Melgarejo W, Fuentes-Davila A, Ortiz J, Zegarra J. Presentación atípica de piomioisitis tropical difusa de psoas por Staphylococus aureus meticiclino resistente. Rev Peru Med Exp Salud Publica. 2012; 29 (1): 135-38.