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Published on: September 19, 2019
[Streptococcus pyogenes pyomyositis of the piriformis muscle in a child]
Claudia García Barrionuevo1, Borja Croche Santander2
1Servicio de Pediatría, Hospital Juan Ramón Jiménez, Huelva, España. claudiagarciabarrionuevo@gmail.com.
Insights
This study reports a rare case of acute pyomyositis in an 8-year-old boy caused by Streptococcus pyogenes. Prompt antibiotic treatment led to successful conservative management without surgery.
Area of Science:
- Infectious Diseases
- Musculoskeletal Infections
- Pediatric Infectious Diseases
Background:
- Acute pyomyositis is a bacterial infection of skeletal muscle, often caused by Staphylococcus aureus.
- Streptococcus pyogenes is an uncommon cause of pyomyositis.
- The piriformis muscle is a rare site for pyomyositis.
Abstract:
Acute pyomyositis is a suppurative infection of the skeletal muscle. Staphylococcus aureus is the most frequent etiological agent. Cases produced by Streptococcus pyogenes are uncommon. The most usual locations are quadriceps, buttocks and iliopsoas. The involvement of the piriformis muscle is very exceptional. We present the case of a previously healthy 8-year-old male who was admitted to our hospital for acute pyomyositis caused by Streptococcus pyogenes located in the piriformis muscle. Early diagnosis and prompt initiation of antibiotic treatment allowed the conservative management of the condition, and surgery was not necessary. The evolution was satisfactory without sequels.
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