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Piriformis pyomyositis: a rare cause of sciatica.

K W Chong1, B K Tay

  • 1Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, Singapore 169608. keenwai@hotmail.com

Singapore Medical Journal
|May 15, 2004
PubMed
Summary

Piriformis pyomyositis, a rare condition causing sciatica, requires prompt diagnosis and treatment. Early intervention with antibiotics or surgery ensures a full recovery, preventing severe complications.

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Area of Science:

  • Medical Imaging
  • Infectious Diseases
  • Musculoskeletal Disorders

Background:

  • Piriformis pyomyositis is a rare bacterial infection affecting the piriformis muscle.
  • It can mimic symptoms of lumbar disc prolapse, leading to diagnostic challenges.

Observation:

  • A 30-year-old Thai woman presented with sciatica due to piriformis pyomyositis.
  • Computed tomography revealed swelling and enhancement of the gluteus medius and piriformis muscles.

Findings:

  • The patient recovered fully after intravenous antibiotic treatment.
  • This condition is infrequently reported and often misdiagnosed.

Implications:

  • Early diagnosis and appropriate treatment (antibiotics or surgery) are crucial for full recovery.
  • Untreated pyomyositis can lead to prolonged hospitalization and mortality.
  • A high index of suspicion is necessary for timely diagnosis and management.

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