Pyomyositis of tensor fascia lata: a case report

• Published in: Journal of medical case reports Vol. 2; no. 1; p. 236
• Main Authors: Ozkan, Korhan, Unay, Koray, Ugutmen, Ender, Eren, Abdullah, Eceviz, Engin, Saygý, Baransel
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 24.07.2008; BioMed Central; BMC
• Subjects: Antibiotics; Care and treatment; Case Report; Case studies; Diagnosis; Dosage and administration; Magnetic resonance imaging; Myositis; Patient outcomes; Risk factors; Turkey
• ISSN: 1752-1947; 1752-1947
• DOI: 10.1186/1752-1947-2-236

Pyomyositis is a disease in which an abscess is formed deep within large striated muscles. We report the case of a 10-year-old boy who presented with fever and a painful hip and was subsequently diagnosed with pyomyositis of the tensor fascia lata. In children with clinical and laboratory findings of inflammation in the vicinity of the hip joint, the differential diagnosis includes transient synovitis, an early stage of Legg-Calvé-Perthes disease, infectious arthritis of the hip, rheumatologic diseases and extracapsular infection such as osteomyelitis. To the best of the authors' knowledge, this is the first report of pyomyositis of the tensor fascia lata. Although pyomyositis is a rare disease and the differential diagnosis includes a variety of other commonly observed diseases, pyomyositis should be considered in cases where children present with fever, leukocytosis and localized pain.