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Published on: September 18, 2011
Pyomyositis in spinal cord injury patients
Abstract:
Bacterial infections remain a major cause of morbidity and mortality among patients with longstanding spinal cord injury. Infection may occur in a number of different foci, often taxing the skill of the most accomplished diagnostician. Herein are described three patients with fever of unknown origin wherein extensive diagnostic workups ultimately led to the diagnosis of primary pyomyositis. These patients demonstrate the importance of repeated careful physician examination in determining the site of infection in patients with established sensorimotor deficits. Although primary pyomyositis is not a common occurrence in those with spinal cord injuries, it should be included as a potential cause of fever in this patient population.
Insights
Bacterial infections are a serious risk for patients with spinal cord injuries. This study highlights primary pyomyositis as an important, though uncommon, cause of fever in this population.
Area of Science:
- Infectious Diseases
- Neurology
- Musculoskeletal System
Background:
- Bacterial infections are a significant cause of illness and death in individuals with chronic spinal cord injuries.
- Diagnosing infection foci in these patients can be challenging due to existing sensorimotor deficits.
Observation:
- Three cases of fever of unknown origin in patients with spinal cord injuries are presented.
- Extensive diagnostic evaluations were required to identify the source of infection.
Findings:
- The underlying cause of fever in these patients was primary pyomyositis, a rare condition in this demographic.
- Repeated clinical examinations were crucial for pinpointing the infection site.
Implications:
- Primary pyomyositis should be considered in the differential diagnosis of fever in spinal cord injury patients.
- Physician vigilance and thorough examination are vital for accurate diagnosis and management.
