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Pyomyositis of extraocular muscle: Case series and review of the literature
Pyomyositis is a primary acute bacterial infection usually caused by Staphylococcus aureus. Any skeletal muscle can be involved, but the thigh and trunk muscles are commonly affected. Only three cases of extraocular muscle (EOM) pyomyositis have been reported. We herein present four cases of isolate...
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Formato: | Texto |
Lenguaje: | English |
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Medknow Publications
2010
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2993988/ https://www.ncbi.nlm.nih.gov/pubmed/20952842 http://dx.doi.org/10.4103/0301-4738.71712 |
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author | Acharya, Ishan G Jethani, Jitendra |
author_facet | Acharya, Ishan G Jethani, Jitendra |
author_sort | Acharya, Ishan G |
collection | PubMed |
description | Pyomyositis is a primary acute bacterial infection usually caused by Staphylococcus aureus. Any skeletal muscle can be involved, but the thigh and trunk muscles are commonly affected. Only three cases of extraocular muscle (EOM) pyomyositis have been reported. We herein present four cases of isolated EOM pyomyositis. Three of our cases presented with acute onset of proptosis, pain, swelling and redness. One patient presented with mass in the inferior orbit for 4 months. One patient had central retinal artery occlusion on presentation. None of them had marked systemic symptoms. Computed tomography scan of all patients showed a typical hypodense rim enhancing lesion of the muscle involved. Three patients were started on intravenous antibiotics immediately on diagnosis and the pus was drained externally. Two patients underwent exploratory orbitotomy. In conclusion, it should be considered in any patient presenting with acute onset of orbital inflammation. Management consists of incision and drainage coupled with antibiotic therapy. |
format | Text |
id | pubmed-2993988 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Medknow Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-29939882010-11-30 Pyomyositis of extraocular muscle: Case series and review of the literature Acharya, Ishan G Jethani, Jitendra Indian J Ophthalmol Brief Communications Pyomyositis is a primary acute bacterial infection usually caused by Staphylococcus aureus. Any skeletal muscle can be involved, but the thigh and trunk muscles are commonly affected. Only three cases of extraocular muscle (EOM) pyomyositis have been reported. We herein present four cases of isolated EOM pyomyositis. Three of our cases presented with acute onset of proptosis, pain, swelling and redness. One patient presented with mass in the inferior orbit for 4 months. One patient had central retinal artery occlusion on presentation. None of them had marked systemic symptoms. Computed tomography scan of all patients showed a typical hypodense rim enhancing lesion of the muscle involved. Three patients were started on intravenous antibiotics immediately on diagnosis and the pus was drained externally. Two patients underwent exploratory orbitotomy. In conclusion, it should be considered in any patient presenting with acute onset of orbital inflammation. Management consists of incision and drainage coupled with antibiotic therapy. Medknow Publications 2010 /pmc/articles/PMC2993988/ /pubmed/20952842 http://dx.doi.org/10.4103/0301-4738.71712 Text en © Indian Journal of Ophthalmology http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Brief Communications Acharya, Ishan G Jethani, Jitendra Pyomyositis of extraocular muscle: Case series and review of the literature |
title | Pyomyositis of extraocular muscle: Case series and review of the literature |
title_full | Pyomyositis of extraocular muscle: Case series and review of the literature |
title_fullStr | Pyomyositis of extraocular muscle: Case series and review of the literature |
title_full_unstemmed | Pyomyositis of extraocular muscle: Case series and review of the literature |
title_short | Pyomyositis of extraocular muscle: Case series and review of the literature |
title_sort | pyomyositis of extraocular muscle: case series and review of the literature |
topic | Brief Communications |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2993988/ https://www.ncbi.nlm.nih.gov/pubmed/20952842 http://dx.doi.org/10.4103/0301-4738.71712 |
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