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Pyomyositis of Obturator Muscles: Unusual Late Presentation
INTRODUCTION: Pyomyositis of obturator muscles is rare condition. Late presentation with deformities of hip misleads the clinician. Late presentation (6 weeks) of this condition has not been reported earlier. This report highlights this unusual presentation of Pyomyositis of the obturator muscles. C...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Indian Orthopaedic Research Group
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4719258/ https://www.ncbi.nlm.nih.gov/pubmed/27298909 http://dx.doi.org/10.13107/jocr.2250-0685.106 |
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author | Soraganvi, Prasad Channappa Ramakanth, R |
author_facet | Soraganvi, Prasad Channappa Ramakanth, R |
author_sort | Soraganvi, Prasad Channappa |
collection | PubMed |
description | INTRODUCTION: Pyomyositis of obturator muscles is rare condition. Late presentation with deformities of hip misleads the clinician. Late presentation (6 weeks) of this condition has not been reported earlier. This report highlights this unusual presentation of Pyomyositis of the obturator muscles. CASE REPORT: We are reporting a 14year old female patient presented with limp and pain in hip since 6 weeks. Her hip radiographs were unremarkable. Patient was admitted and MRI done. MRI findings were consistent with obturator pyomyositis. Diagnosis of pyomyositis confirmed by MRI and we performed percutaneous aspiration and drained about 25ml of purulent material mixed with blood. The culture grew Staphylococcus aureus. Patient received intravenous antibiotic for 1week and oral antibiotic for 2weeks. Patient was immobilized in fixed skin traction in Thomas splint for 5days, later gentle mobilization was started. Her condition improved dramatically after aspiration. A follow up MRI done at 3 weeks following aspiration revealed a significant reduction in intramuscular collection of obturator internus and obturator externus. Three weeks following aspiration patient was relieved of the pain and was able to walk normally. At 6 months follow up visit patient was asymptomatic. CONCLUSION: Late presentation of obturator pyomyositis is rare. We emphasise on careful examination and need for early imaging for diagnosis. Percutaneous drainage results in successful treatment. |
format | Online Article Text |
id | pubmed-4719258 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Indian Orthopaedic Research Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-47192582016-06-13 Pyomyositis of Obturator Muscles: Unusual Late Presentation Soraganvi, Prasad Channappa Ramakanth, R J Orthop Case Reports Case Report INTRODUCTION: Pyomyositis of obturator muscles is rare condition. Late presentation with deformities of hip misleads the clinician. Late presentation (6 weeks) of this condition has not been reported earlier. This report highlights this unusual presentation of Pyomyositis of the obturator muscles. CASE REPORT: We are reporting a 14year old female patient presented with limp and pain in hip since 6 weeks. Her hip radiographs were unremarkable. Patient was admitted and MRI done. MRI findings were consistent with obturator pyomyositis. Diagnosis of pyomyositis confirmed by MRI and we performed percutaneous aspiration and drained about 25ml of purulent material mixed with blood. The culture grew Staphylococcus aureus. Patient received intravenous antibiotic for 1week and oral antibiotic for 2weeks. Patient was immobilized in fixed skin traction in Thomas splint for 5days, later gentle mobilization was started. Her condition improved dramatically after aspiration. A follow up MRI done at 3 weeks following aspiration revealed a significant reduction in intramuscular collection of obturator internus and obturator externus. Three weeks following aspiration patient was relieved of the pain and was able to walk normally. At 6 months follow up visit patient was asymptomatic. CONCLUSION: Late presentation of obturator pyomyositis is rare. We emphasise on careful examination and need for early imaging for diagnosis. Percutaneous drainage results in successful treatment. Indian Orthopaedic Research Group 2013 /pmc/articles/PMC4719258/ /pubmed/27298909 http://dx.doi.org/10.13107/jocr.2250-0685.106 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc-sa/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Soraganvi, Prasad Channappa Ramakanth, R Pyomyositis of Obturator Muscles: Unusual Late Presentation |
title | Pyomyositis of Obturator Muscles: Unusual Late Presentation |
title_full | Pyomyositis of Obturator Muscles: Unusual Late Presentation |
title_fullStr | Pyomyositis of Obturator Muscles: Unusual Late Presentation |
title_full_unstemmed | Pyomyositis of Obturator Muscles: Unusual Late Presentation |
title_short | Pyomyositis of Obturator Muscles: Unusual Late Presentation |
title_sort | pyomyositis of obturator muscles: unusual late presentation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4719258/ https://www.ncbi.nlm.nih.gov/pubmed/27298909 http://dx.doi.org/10.13107/jocr.2250-0685.106 |
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