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Infectious myositis involving the piriformis in a patient with rheumatoid arthritis
Satoshi Oda1, Hiroshi Fujinaga, Kozo Takahashi
1Department of Japanese Oriental Medicine, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae, Toyama, 930-8550, Japan.
Abstract:
A 49-year-old Japanese woman treated with oral corticosteroids, methotrexate, and infliximab for malignant rheumatoid arthritis was admitted because of fever and low back pain. The white blood cell count and C-reactive protein concentration were elevated. Lumbar and pelvic computed tomography showed enlargement of the piriformis muscle including a hypodense area consistent with gas formation. The patient was treated successfully for infectious myositis with intravenous antibiotics.
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