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Vesicoureteral reflux in a boy presenting with difficulty in walking
1Department of Urology, Osaka Teishin Hospital, Japan. urology@med.kindai.ac.jp
Summary
This case study details a rare instance of secondary psoas pyomyositis, stemming from acute pyelonephritis due to vesicoureteral reflux. Successful treatment involved antibiotics and surgical correction of the reflux.
Area of Science:
- Urology
- Infectious Diseases
- Musculoskeletal Disorders
Background:
- Presents an uncommon case of secondary psoas pyomyositis.
- Patient exhibited symptoms of high fever and right lower extremity pain.
- Difficulty in walking was a primary complaint.
Observation:
- Urinary tract investigation revealed acute pyelonephritis.
- Pyelonephritis was caused by vesicoureteral reflux.
- Psoas pyomyositis was a secondary complication spreading from the urinary tract.
Findings:
- Successful management achieved through a two-step approach.
- Initial treatment involved comprehensive antibiotic therapy.
- Subsequent surgical correction of vesicoureteral reflux was performed using ureteroneovesicostomy.
Implications:
- Highlights the importance of considering urinary tract infections in unexplained musculoskeletal pain.
- Demonstrates the efficacy of combined antibiotic and surgical management for secondary psoas pyomyositis.
- Underscores the potential for serious complications arising from untreated vesicoureteral reflux.