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Primary MRSA Myositis Mimicking Septic Arthritis

As the incidence of bacterial myositis and pyomyositis in the United States is rising, we aim to highlight the presentation of bacterial myositis which is known as a great imitator in tropical regions. This is a case report of a 61-year-old female patient with poorly controlled diabetes who presente...

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Autores principales: Abu-Abaa, Mohammad, Pulikeyil, Amy, Arshad, Hassaan, Goldsmith, Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9991464/
https://www.ncbi.nlm.nih.gov/pubmed/36895204
http://dx.doi.org/10.1155/2023/5623876
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author Abu-Abaa, Mohammad
Pulikeyil, Amy
Arshad, Hassaan
Goldsmith, Daniel
author_facet Abu-Abaa, Mohammad
Pulikeyil, Amy
Arshad, Hassaan
Goldsmith, Daniel
author_sort Abu-Abaa, Mohammad
collection PubMed
description As the incidence of bacterial myositis and pyomyositis in the United States is rising, we aim to highlight the presentation of bacterial myositis which is known as a great imitator in tropical regions. This is a case report of a 61-year-old female patient with poorly controlled diabetes who presented initially with lateral hip pain and tenderness. This was initially believed to be septic arthritis and warranted arthrocentesis. What makes this case interesting is that what was believed to be a primary community-acquired MRSA myositis, which progressed to a life-threatening septic shock, happened in a nontropical area (Northeastern USA) and in a patient with no underlying recent muscle injury. This case serves to remind clinicians that infectious myositis is gaining more incidence in nontropical regions and can masquerade as septic arthritis, requiring a high index of suspicion. Normal muscle enzymes like CK and aldolase do not rule out myositis.
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spelling pubmed-99914642023-03-08 Primary MRSA Myositis Mimicking Septic Arthritis Abu-Abaa, Mohammad Pulikeyil, Amy Arshad, Hassaan Goldsmith, Daniel Case Rep Crit Care Case Report As the incidence of bacterial myositis and pyomyositis in the United States is rising, we aim to highlight the presentation of bacterial myositis which is known as a great imitator in tropical regions. This is a case report of a 61-year-old female patient with poorly controlled diabetes who presented initially with lateral hip pain and tenderness. This was initially believed to be septic arthritis and warranted arthrocentesis. What makes this case interesting is that what was believed to be a primary community-acquired MRSA myositis, which progressed to a life-threatening septic shock, happened in a nontropical area (Northeastern USA) and in a patient with no underlying recent muscle injury. This case serves to remind clinicians that infectious myositis is gaining more incidence in nontropical regions and can masquerade as septic arthritis, requiring a high index of suspicion. Normal muscle enzymes like CK and aldolase do not rule out myositis. Hindawi 2023-02-28 /pmc/articles/PMC9991464/ /pubmed/36895204 http://dx.doi.org/10.1155/2023/5623876 Text en Copyright © 2023 Mohammad Abu-Abaa et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Abu-Abaa, Mohammad
Pulikeyil, Amy
Arshad, Hassaan
Goldsmith, Daniel
Primary MRSA Myositis Mimicking Septic Arthritis
title Primary MRSA Myositis Mimicking Septic Arthritis
title_full Primary MRSA Myositis Mimicking Septic Arthritis
title_fullStr Primary MRSA Myositis Mimicking Septic Arthritis
title_full_unstemmed Primary MRSA Myositis Mimicking Septic Arthritis
title_short Primary MRSA Myositis Mimicking Septic Arthritis
title_sort primary mrsa myositis mimicking septic arthritis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9991464/
https://www.ncbi.nlm.nih.gov/pubmed/36895204
http://dx.doi.org/10.1155/2023/5623876
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