1/23. pyomyositis due to non-haemolytic streptococci.We present a unique case of a multifocal non-tropical pyomyositis due to non-haemolytic streptococci in a 36-y-old woman. The initial infection was in an area of contused muscle in the left anterior thigh and spread to the contralateral femoral and gluteal musculature. There was a previous history of staphylococcus aureus pyomyositis and colitis ulcerosa. The patient was treated successfully with surgical drainage and parenteral antibiotics.- - - - - - - - - - ranking = 1keywords = pyomyositis (Clic here for more details about this article) |
2/23. Multifocal streptococcal pyomyositis complicated by acute compartment syndrome: case report.A 5-year-old girl sought treatment for pyrexia of unknown origin. Despite prompt surgical drainage of a streptococcal septic arthritis of the ankle joint, her condition deteriorated. Multifocal pyomyositis was subsequently diagnosed. This was complicated by acute compartment syndrome in three extremities. With aggressive surgical and medical management, the child made a complete recovery. Orthopaedic clinicians in nontropical areas must familiarize themselves with this rare, potentially life-threatening, but eminently curable disease.- - - - - - - - - - ranking = 2.5keywords = pyomyositis (Clic here for more details about this article) |
3/23. Non-tropical thoraco-abdominal pyomyositis caused by group A streptococcus in an immunocompetent adult.We present a case of group A streptococcal pyomyositis of the thoraco-abdominal wall of an immunocompetent adult. This diagnosis was made when soft tissue swelling was seen on chest X-ray. Complete recovery followed drainage of the collection and short-course i.v. penicillin. The importance, diagnosis and treatment of pyomyositis are outlined.- - - - - - - - - - ranking = 3keywords = pyomyositis (Clic here for more details about this article) |
4/23. streptococcus pyogenes pyomyositis.Group A beta-hemolytic Streptococcus pyomyositis continues to be an uncommon disease. We present a case of a 7-year-old boy with an M protein type 1, streptococcal pyrogenic exotoxin A and B, streptococcus pyogenes pyomyositis and streptococcal toxic shock syndrome.- - - - - - - - - - ranking = 3keywords = pyomyositis (Clic here for more details about this article) |
5/23. Primary bacterial pyomyositis associated with septic arthritis caused by streptococcus pyogenes: a case report.pyomyositis is relatively rare in temperate climates. This is the first report of a case of calf pyomyositis associated with septic arthritis of the knee. This case illustrates that pyomyositis should be included in the differential diagnosis of a swollen, tender calf in an emergency setting. The other notable feature of this case is that the infective organism was not the usual staphylococcus aureus but rather the relatively rarely involved streptococcus pyogenes.- - - - - - - - - - ranking = 3keywords = pyomyositis (Clic here for more details about this article) |
6/23. Streptococcus pyomyositis occurring in a patient with dermatomyositis in a country with temperate climate.We describe a man in whom pyomyositis developed in a temperate climate. Three facts make this case unique. First the pyomyositis developed in someone with underlying dermatomyositis, this being the second reported case to our knowledge. Second, the organism involved was a Streptococcus and not a Staphylococcus as in most cases described, and the course of the disease was acute and not subacute as is usually reported. Finally, contrary to most described cases, surgical drainage was not necessary, probably because of the early diagnosis. pyomyositis should be considered a possible cause of localized pain in patients with underlying inflammatory muscle disease.- - - - - - - - - - ranking = 3keywords = pyomyositis (Clic here for more details about this article) |
7/23. pyomyositis in north america: case reports and review.We report two cases and review the characteristics of pyomyositis. The courses of patients who presented with pyomyositis at the Maricopa Medical Center (Phoenix) are detailed. Ninety-eight reported cases over the last 20 years in north america, found through a medline search, are summarized. Infection with the human immunodeficiency virus (hiv) may predispose the patient to pyomyositis. The onset is usually insidious with progression to large purulent collections and significant morbidity. The diagnosis is frequently suggested by findings of imaging studies. staphylococcus aureus is responsible for most cases in tropical areas but is less frequently associated with cases in north america. Since infection with hiv predisposes patients to bacterial infections, pyomyositis will occur more frequently in this patient population. Increased awareness of the disease will improve management. Following aspiration or surgical drainage, therapy with broad-spectrum empirical antibiotics may be considered initially in the treatment of pyomyositis.- - - - - - - - - - ranking = 2.5keywords = pyomyositis (Clic here for more details about this article) |
8/23. Streptococcal pyomyositis of the psoas: case reports and review.We present two unusual cases of pyomyositis of the psoas muscle caused by Group A beta-hemolytic streptococcus (GABHS) in children presenting with fever, emesis and leg pain. pyomyositis secondary to GABHS is rare in children and cases involving the psoas muscle have not been previously reported. In our discussion, we review the epidemiology, presentation, diagnosis and treatment of GABHS psoas myositis in comparison with staphylococcal pyomyositis. Prompt recognition of the signs and symptoms of GABHS psoas pyomyositis is essential for treatment of this life-threatening infection.- - - - - - - - - - ranking = 3.5keywords = pyomyositis (Clic here for more details about this article) |
9/23. pyomyositis in patients with diabetes mellitus.pyomyositis is a pyogenic infection of skeletal muscle that is endemic in the tropics and is being recognized with increasing frequency in temperate climates. We report two cases of nonendemic pyomyositis in patients with diabetes mellitus. A review of the literature suggests that diabetes mellitus may be an important risk factor for the development of pyomyositis. Possible mechanisms of this association are discussed.- - - - - - - - - - ranking = 1keywords = pyomyositis (Clic here for more details about this article) |
10/23. A case of group B streptococcal pyomyositis.The group B streptococcus is an opportunistic pathogen that causes a variety of serious infections including bacteremias, puerperal sepsis, and neonatal meningitis. Group B streptococcal infections of muscle are rare. We report here an unusual case of group B streptococcal pyomyositis. pyomyositis arises predominantly from infections caused by staphylococcus aureus and, occasionally, streptococcus pyogenes. Because of the rarity of pyomyositis in temperate climates, the common lack of localizing signs or symptoms, and the frequently negative blood cultures, considerable delay often precedes the diagnosis of pyomyositis; in fact, the infection has been initially misdiagnosed as muscle hematoma, cellulitis, thrombophlebitis, osteomyelitis, or neoplasm. Diagnosis may be greatly aided by radiologic techniques that can demonstrate the sites of muscle enlargement and the presence of fluid collections. The response to antibiotics is usually rapid, but resolution of the infection may require aspiration of deeply situated muscle abscesses. This report describes a diabetic patient with an unusual presentation of pyomyositis that mimicked an acute abdomen.- - - - - - - - - - ranking = 4keywords = pyomyositis (Clic here for more details about this article) |
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