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Obturator internus pyomyositis manifested as sciatica in a patient with subacute bacterial endocarditis: A rare case report

Pyomyositis is a pyogenic infection of the skeletal muscles causing myalgia and fever in patients. Hematogenous seeding engendered by persistent bacteremia and septic embolism is usually the underlying cause of the disease. Trauma, intravenous drug use, and immunodeficiency are the main predisposing...

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Autores principales: Hsu, Wei-Ching, Hsu, Jin-Yi, Chen, Michael Yu-Chih, Liang, Chung-Chao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5265854/
https://www.ncbi.nlm.nih.gov/pubmed/27472717
http://dx.doi.org/10.1097/MD.0000000000004340
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author Hsu, Wei-Ching
Hsu, Jin-Yi
Chen, Michael Yu-Chih
Liang, Chung-Chao
author_facet Hsu, Wei-Ching
Hsu, Jin-Yi
Chen, Michael Yu-Chih
Liang, Chung-Chao
author_sort Hsu, Wei-Ching
collection PubMed
description Pyomyositis is a pyogenic infection of the skeletal muscles causing myalgia and fever in patients. Hematogenous seeding engendered by persistent bacteremia and septic embolism is usually the underlying cause of the disease. Trauma, intravenous drug use, and immunodeficiency are the main predisposing factors. Obturator internus pyomyositis with sciatica has not previously been reported. We report a rare case of a patient with subacute bacterial endocarditis presenting with left buttock pain and sciatica. Computed tomography confirmed the diagnosis of obturator internus pyomyositis. The patient was discharged uneventfully after successful antibiotic treatment. The mortality rate of patients who have pyomyositis comorbid with another condition or disease is extremely high. Early diagnosis and aggressive management are imperative.
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spelling pubmed-52658542017-02-03 Obturator internus pyomyositis manifested as sciatica in a patient with subacute bacterial endocarditis: A rare case report Hsu, Wei-Ching Hsu, Jin-Yi Chen, Michael Yu-Chih Liang, Chung-Chao Medicine (Baltimore) 6300 Pyomyositis is a pyogenic infection of the skeletal muscles causing myalgia and fever in patients. Hematogenous seeding engendered by persistent bacteremia and septic embolism is usually the underlying cause of the disease. Trauma, intravenous drug use, and immunodeficiency are the main predisposing factors. Obturator internus pyomyositis with sciatica has not previously been reported. We report a rare case of a patient with subacute bacterial endocarditis presenting with left buttock pain and sciatica. Computed tomography confirmed the diagnosis of obturator internus pyomyositis. The patient was discharged uneventfully after successful antibiotic treatment. The mortality rate of patients who have pyomyositis comorbid with another condition or disease is extremely high. Early diagnosis and aggressive management are imperative. Wolters Kluwer Health 2016-07-29 /pmc/articles/PMC5265854/ /pubmed/27472717 http://dx.doi.org/10.1097/MD.0000000000004340 Text en Copyright © 2016 the Author(s). Published by Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 6300
Hsu, Wei-Ching
Hsu, Jin-Yi
Chen, Michael Yu-Chih
Liang, Chung-Chao
Obturator internus pyomyositis manifested as sciatica in a patient with subacute bacterial endocarditis: A rare case report
title Obturator internus pyomyositis manifested as sciatica in a patient with subacute bacterial endocarditis: A rare case report
title_full Obturator internus pyomyositis manifested as sciatica in a patient with subacute bacterial endocarditis: A rare case report
title_fullStr Obturator internus pyomyositis manifested as sciatica in a patient with subacute bacterial endocarditis: A rare case report
title_full_unstemmed Obturator internus pyomyositis manifested as sciatica in a patient with subacute bacterial endocarditis: A rare case report
title_short Obturator internus pyomyositis manifested as sciatica in a patient with subacute bacterial endocarditis: A rare case report
title_sort obturator internus pyomyositis manifested as sciatica in a patient with subacute bacterial endocarditis: a rare case report
topic 6300
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5265854/
https://www.ncbi.nlm.nih.gov/pubmed/27472717
http://dx.doi.org/10.1097/MD.0000000000004340
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