Browse > Article

Clinical Analysis of Traumatic Pyomyositis in Emergency Patients  

Na, Ji Ung (Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Song, Hyoung Gon (Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Publication Information
Journal of Trauma and Injury / v.19, no.1, 2006 , pp. 81-88 More about this Journal
Abstract
Purpose: Pyomyositis is a rare disease in temperature climate region. The diagnosis of pyomyositis is often delayed, and pyomyositis is often misdiagnosed in the emergency department. Methods: The medical records of 11 patients who were diagnosed as having traumatic pyomyositis in the emergency department at Samsung Medical Center in Seoul, Korea, between 2000 and 2006 were reviewed. Their clinical features, such as history, symptoms, clinical findings, duration from onset of symptoms to diagnosis, medical history, laboratory data, results of imaging studies and clinical course were collected. Results: The psoas muscles were most commonly involved. Computer tomography and magnetic resonance imaging aided in accurate diagnosis of the infection and of the extent of involvement. Incision, drainage, and antibiotics therapy eradicated the infectioin in all patients Conclusion: Pyomyositis should be a part of the differential diagnosis for patients with traumatic muscle pain. Radiologic evaluation, such as computer tomography and magnetic resonance imaging, must be considered in the diagnosis of traumatic pyomyositis.
Keywords
Pyomyositis; Diagnosis;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Christin L, Sarosi GA. Pyomyositis in North America: case reports and review. Clin Infect Dis 1992:15:668-77
2 Spiegel DA, Meyer JS, Dormans JP, Flynn JM, Drummond DS. Pyomyositis in children and adolescents: Report of 12 cases and review of the literature. J Pediatr Orthop 1999;19:143-50   DOI   ScienceOn
3 Paajanen H, Grood W, Revel D, Engelstad B, Brasch RC. Galdolinium-DTPA enhanced MRI of intramuscular abscesses. Magnetic Resonance Imaging 1987;5:109-15   DOI   ScienceOn
4 Gibson RK, Rosenthal SJ, Lukert BP. Pyomyositis. Increasing recognition in temperature climates. Am J Med 1984;77:768-72   DOI   ScienceOn
5 Soler R, Rodriguez E, Aguilera C, Fernandez R. Magnetic resonance imaging of pyomyositis in 43 cases. Eur J Radiol. 2000;10:59-64   DOI   ScienceOn
6 Gomez-Reino JJ, Aznar JJ, Pablos JL, Diaz-Gonzalez F, Laffon A. Nontropical pyomyositis in adults. Semin Arthritis Rheum 1994;23:396-405   DOI   ScienceOn
7 Park CB, Kim KS, Shin JH, Suh Gj, Youn YK. Clinical presentations, Diagnosis, and Treatments of a Psoas Abscess. J Korean Soc Emerg Med 2005:16:346-51
8 Pretorius ES, Hruban RH, Fishman EK. Tropical pyomyositis: imaging findings and a review of the literature. Skeletal Radiol 1996;25:576-9   DOI   ScienceOn
9 Patel SR, Olenginski TP, Perruquet JL, Harrington TM. Pyomyositis: clinical features and predisposing conditions. J Rheumatol 1997;24:1734-8
10 Sharif HS, Clark DC, Aabed MY, Aideyan OA, Haddad MC, Mattsson TA. MR imaging of thoracic and abdominal wall infections: comparison with other imaging procedures. AJR Am J Roentgenol. 1990;154:989-95   DOI   ScienceOn
11 Trotter JL, Doyle JR. Tropical myositis, the great imitator: a case report. Hawaii Med J 1988;47:468
12 Hernandez Rodriguez I, Fernandez-Martin J. Primary pyomyositis. Two more cases with atypical presentation in diabetic hosts. Br J Rheumatol 1995;34:482-3
13 Collazos J, Fernandez A, Marinez E, Mayo J, de le Vinda JM. Pneumococcal pyomyositis. Case report, review of the literature, and comparision with classic pyomyositis caused by other bacteria. Arch Intern Med 1996;156:1470-4   DOI   ScienceOn
14 Mirales GP, Bregman Z. Necrotizing pyomyostitis caused by Mycobacterium avium complex in a patient with AIDS. Clin Infect Dis 1994;18:833-4   DOI   ScienceOn
15 Falasca GF, Reginato AJ. The spectrum of myositis and rhabdomyolysis associated with bacterial infection. J Rheumatol 1994;21:1932-7
16 Yagupsky P, Shahak E, Barki Y. Non-invasive diagnosis of pyomyositis. Clin Pediatr 1988;27:299-301   DOI   ScienceOn
17 Royston DD, Cremin BJ. The ultrasonic evaluation of psoas abscess (tropical pyomyositis) in children. Pediatr Radiol 1994;24:481-3.   DOI
18 Hossain A, Reis ED, Soundararajan K, Kerstein MD, Hollier LH. Nontropical pyomyositis: analysis of eight patients in an urban center. Am Surg 2000;66: 1064-6
19 Drosos G. Pyomyositis. A literature review. Acta Orthop. Belg. 2005:71:9-16
20 Horn CV, Master S. Pyomyositis tropicans in Uganda. East Afr Med J 1968;45:463-71
21 Rodgers WB, Yodlowski ML, Mintzer CM. Pyomyositis in patients who have the human immunodeficiency virus. Case report and review of the literature. J Bone Joint Surg Am 1993;75:588-92   DOI
22 Fleckenstein JL, Burns DK, Murphy FK, Jayson HT, Bonte FJ. Differential diagnosis of bacterial pyomyositis in AIDS: evaluation with MR imaging. Radiology 1991;179:653-8   DOI
23 Levin MJ, Gardner P, Waldvogel FA. An unusual infection due to Staphylococcus aureus. N Engl J Med 1971;284:196-8   DOI   ScienceOn
24 Hall RL, Callaghan JJ, Moloney E, Martinez S, Harrelson JM. Pyomyositis in a temperate climate. Presentation, diagnosis and treatment. J Bone Joint Surg Am 1990;72:1240-4   DOI
25 Chiedozi LC. Pyomyositis. Review of 205 cases in 112 patients. Am J Surg 1979;137:225-9
26 Grose C. Bacterial myositis and pyomyositis. In: Feigin RD, Cherry JD eds. Textbook of pediatric infectious diseases. 4thed. Philadelphia: Saunders, 1998:704-8