Cases reported "Pneumococcal Infections"

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1/4. Pneumococcal pyomyositis.

    pyomyositis is most commonly caused by staphylococcus aureus. A 25-month-old child developed infection of the biceps brachialis muscle caused by streptococcus pneumoniae. The child had no underlying immune or anatomic defect.
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keywords = pyomyositis
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2/4. Pneumococcal psoas pyomyositis associated with complement deficiency.

    A 4.5-year-old boy with complement deficiency developed infection of the psoas caused by streptococcus pneumoniae. pyomyositis of the psoas muscle is uncommon but should be included in the differential diagnosis of fever and lameness. The most useful diagnostic test is computed tomography guided needle aspiration, and underlying conditions should be sought.
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ranking = 1
keywords = pyomyositis
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3/4. Pneumococcal pyomyositis. Case report, review of the literature, and comparison with classic pyomyositis caused by other bacteria.

    pyomyositis is caused by staphylococci in 70% to 90% of patients. We report a case of pneumococcal pyomyositis (PP), review the 11 cases previously published, and compare the features of pneumococcal pyomyositis with those of classic (nonpneumococcal) pyomyositis. Several clinical characteristics have been identified that are notably different in both groups. Psoas muscle involvement was observed in two thirds of the patients with PP, and a source for the infection was identified in half of the patients. patients with PP were older than those with classic pyomyositis. Men were affected less often than women with PP, but the opposite was the rule in classic pyomyositis. The systemic response to the infection was more prominent in patients infected with pneumococci than from other causes. Most patients with PP were successfully treated with antibiotics and drainage. Secondary meningitis was observed in 3 patients with psoas muscle abscess caused by pneumococci. mortality is low in pyomyositis regardless of the causative pathogen.
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ranking = 3.5
keywords = pyomyositis
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4/4. Pneumococcal pyomyositis secondary to pneumonia.

    A case of pneumococcal pyomyositis of the brachial and shoulder region is presented. A bacteremic right lower lobe pneumonia was the source of infection. The spread of pneumococci was presumed to be blood-borne, presenting with cellulitis over the right shoulder region, progressing over 5 days to abscess formation in the right biceps muscle and right shoulder joint despite adequate antibiotic treatment.
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ranking = 1.25
keywords = pyomyositis
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