Primary Bacterial Gluteal Pyomyositis: A Rare Disease in Temperate Climates Presenting as Suspected Septic Arthritis of the Hip
| Autor: | Ruth Bentley, Christopher George Ghazala, Elena Fatone, Aysha Rajeev |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Staphylococcus aureus medicine.medical_specialty Pyomyositis medicine.medical_treatment Polymyositis Diagnosis Differential 03 medical and health sciences 0302 clinical medicine medicine Humans Muscle Skeletal Gluteal muscles 030203 arthritis & rheumatology Arthritis Infectious 030222 orthopedics business.industry Arthrocentesis Emergency department Staphylococcal Infections medicine.disease Surgery medicine.anatomical_structure Emergency Medicine Buttocks Female Hip Joint Septic arthritis Differential diagnosis business Rare disease |
| Zdroj: | The Journal of Emergency Medicine. 51:319-321 |
| ISSN: | 0736-4679 |
| Popis: | Background In nations with temperate climates, primary polymyositis is a rare, life-threatening bacterial infection that can mimic various clinical diseases depending on the area involved, leading to delayed diagnosis and management. Case Report We describe a young postpartum woman who presented to the emergency department with hip pain that was initially suspected to be caused by septic arthritis. However, hip arthrocentesis was negative, and a magnetic resonance imaging scan revealed extensive pyomyositis of the gluteal muscles. She underwent surgical debridement and was given parenteral antibiotics with good clinical recovery. Why Should An Emergency Physician Be Aware of This? We emphasize that cases of pyomyositis in temperate countries are often diagnosed late and therefore delay life- and potentially limb-saving treatment. For patients who present with hip and thigh pain and clinical features of sepsis, pyomyositis should be considered in the differential diagnosis and an early magnetic resonance imaging scan should be performed to confirm the diagnosis and reduce the high morbidity and mortality associated with this emerging disease. |
| Databáze: | OpenAIRE |
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