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Brucellosis presenting as piriformis myositis: a case report

INTRODUCTION: Myositis is a rare bacterial muscle infection. Involvement of the piriformis muscle has been rarely reported in the literature. In this report we describe a case of piriformis myositis due to Brucella melitensis, which to the best of our knowledge is the first such case presented in th...

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Autores principales: Kraniotis, Pantelis, Marangos, Markos, Lekkou, Alexandra, Romanos, Odysseas, Solomou, Ekaterini
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3076253/
https://www.ncbi.nlm.nih.gov/pubmed/21450058
http://dx.doi.org/10.1186/1752-1947-5-125
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author Kraniotis, Pantelis
Marangos, Markos
Lekkou, Alexandra
Romanos, Odysseas
Solomou, Ekaterini
author_facet Kraniotis, Pantelis
Marangos, Markos
Lekkou, Alexandra
Romanos, Odysseas
Solomou, Ekaterini
author_sort Kraniotis, Pantelis
collection PubMed
description INTRODUCTION: Myositis is a rare bacterial muscle infection. Involvement of the piriformis muscle has been rarely reported in the literature. In this report we describe a case of piriformis myositis due to Brucella melitensis, which to the best of our knowledge is the first such case presented in the literature. CASE PRESENTATION: We report the case of a 19-year-old Caucasian man who presented to our institution with fever and right hip pain. Brucellosis was suspected, but the clinical suspicion was for spondylodiscitis. A pelvic magnetic resonance imaging scan allowed prompt diagnosis of inflammatory involvement of the right piriformis muscle. Blood culture results were positive for B. melitensis. Our patient was treated with antibiotics, and follow-up magnetic resonance imaging scans showed resolution of the inflammation. CONCLUSION: Brucellosis can present as piriformis myositis. The clinical diagnosis of piriformis myositis is difficult, as it can mimic other common entities such as referred back pain from spondylodiscitis. Magnetic resonance imaging is the method of choice for establishing the diagnosis in the early stages of the disease, as late diagnosis can lead to abscess formation and the need for drainage.
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spelling pubmed-30762532011-04-14 Brucellosis presenting as piriformis myositis: a case report Kraniotis, Pantelis Marangos, Markos Lekkou, Alexandra Romanos, Odysseas Solomou, Ekaterini J Med Case Reports Case Report INTRODUCTION: Myositis is a rare bacterial muscle infection. Involvement of the piriformis muscle has been rarely reported in the literature. In this report we describe a case of piriformis myositis due to Brucella melitensis, which to the best of our knowledge is the first such case presented in the literature. CASE PRESENTATION: We report the case of a 19-year-old Caucasian man who presented to our institution with fever and right hip pain. Brucellosis was suspected, but the clinical suspicion was for spondylodiscitis. A pelvic magnetic resonance imaging scan allowed prompt diagnosis of inflammatory involvement of the right piriformis muscle. Blood culture results were positive for B. melitensis. Our patient was treated with antibiotics, and follow-up magnetic resonance imaging scans showed resolution of the inflammation. CONCLUSION: Brucellosis can present as piriformis myositis. The clinical diagnosis of piriformis myositis is difficult, as it can mimic other common entities such as referred back pain from spondylodiscitis. Magnetic resonance imaging is the method of choice for establishing the diagnosis in the early stages of the disease, as late diagnosis can lead to abscess formation and the need for drainage. BioMed Central 2011-03-30 /pmc/articles/PMC3076253/ /pubmed/21450058 http://dx.doi.org/10.1186/1752-1947-5-125 Text en Copyright ©2011 Kraniotis et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kraniotis, Pantelis
Marangos, Markos
Lekkou, Alexandra
Romanos, Odysseas
Solomou, Ekaterini
Brucellosis presenting as piriformis myositis: a case report
title Brucellosis presenting as piriformis myositis: a case report
title_full Brucellosis presenting as piriformis myositis: a case report
title_fullStr Brucellosis presenting as piriformis myositis: a case report
title_full_unstemmed Brucellosis presenting as piriformis myositis: a case report
title_short Brucellosis presenting as piriformis myositis: a case report
title_sort brucellosis presenting as piriformis myositis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3076253/
https://www.ncbi.nlm.nih.gov/pubmed/21450058
http://dx.doi.org/10.1186/1752-1947-5-125
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