Pyomyositis of the iliacus muscle - a diagnostic and therapeutic dilemma

Autor:	N. Hotzoglou, I. Gkampranis, Ioannis A. Kirmizis, G. Termetzis, Ioannis Skandalos, M. Kotsiou
Rok vydání:	2014
Předmět:	medicine.medical_specialty Pyomyositis business.industry Sacroiliitis Female adolescent Disease medicine.disease Surgery Iliacus muscle medicine Hyperbaric Therapy Septic arthritis Differential diagnosis business
Zdroj:	Hellenic Journal of Surgery. 86:216-220
ISSN:	1868-8845 0018-0092
DOI:	10.1007/s13126-014-0133-x
Popis:	Pyomyositis is an uncommon primary bacterial infection of skeletal muscles, usually caused by Staphylococcus aureus. The iliacus muscle rarely becomes affected; when it does, it is often misdiagnosed as septic arthritis of the hip resulting in delayed diagnosis. The diagnosis, staging of the disease and differential diagnosis are established by CT and MRI. We report a case of iliacus muscle pyomyositis in a female adolescent which was initially managed with surgical drainage. The patient subsequently presented with recurrent symptoms and manifestations of sacroiliitis; she was readmitted and treated conservatively with hyperbaric oxygen therapy. This constitutes, as far as we know, the first reported use of hyperbaric therapy in the treatment of the condition.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::a4bba00ff0ad766ddb6154b581db7902 https://doi.org/10.1007/s13126-014-0133-x Zobrazit plný text záznamu Full text from SpringerLink