63-year-old man with right biceps and right pectoralis major abscesses: an unusual case of pyomyositis
| Autor: | Tara Mireille Reed, Curtis Lee, Sydney Y Tatsuno, Eric M Tatsuno |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Pyomyositis Hamstring Muscles Biceps Pectoralis Muscles Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Shoulder Pain Rare Disease medicine Outpatient clinic Humans 030212 general & internal medicine Right shoulder pain Abscess Right pectoralis major Unusual case business.industry General Medicine Middle Aged medicine.disease Surgery Differential diagnosis business 030217 neurology & neurosurgery |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| Popis: | Pyomyositis is considered a great mimicker and masquerader. This case is of a 63-year-old man with diabetes who initially presented to the outpatient clinic afebrile with right shoulder pain. His work-up was negative, and he was discharged home. He subsequently presented to the emergency room (ER) two times for worsening right shoulder pain. During his first visit to the ER, his work-up was unremarkable, and he was discharged home. On his return to the ER, he was now febrile with inflammation involving his right upper extremity and right chest wall. Imaging studies of his right upper extremity and his right chest wall were consistent with multiple abscesses. Methicillin resistant Staphylococcus aureus was cultured from the abscess, and from blood and urine cultures. The diagnosis of pyomyositis was confirmed. This case illustrates the difficulty of diagnosing pyomyositis and the importance of including it in the differential diagnosis, especially in an immunocompromised patient. |
| Databáze: | OpenAIRE |
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