A case confirming the progressive stages of pyomyositis

• Published in: Journal of pediatric surgery Vol. 38; no. 10; pp. 1551 - 1553
• Main Authors: Flier, Sarah, Dolgin, Stephen E, Saphir, Richard L, Shlasko, Edward, Midulla, Peter
• Format: Journal Article
• Language: English
• Published: Philadelphia, PA Elsevier Inc 01.10.2003; Elsevier
• Subjects: Abscess - diagnosis; Abscess - therapy; Adolescent; Bacterial diseases; Bacterial diseases of the nervous system. Bacterial myositis; Biological and medical sciences; Disease Progression; Diseases of striated muscles. Neuromuscular diseases; Drainage; General aspects; Human bacterial diseases; Humans; Infectious diseases; Male; Medical sciences; Myositis - diagnosis; Myositis - therapy; Neurology; Pyomyositis; skeletal muscle abscess; Staphylococcal Infections - diagnosis; Staphylococcal Infections - therapy; Staphylococcus aureus - isolation & purification; Tomography, X-Ray Computed; skeletal muscle abscess; Pyomyositis; Medicine; Progressive; Pediatrics; Striated muscle disease; Temporal muscle; Stage; Myositis; Striated muscle
• ISSN: 0022-3468; 1531-5037
• DOI: 10.1016/S0022-3468(03)00515-3

A teenage boy presented in the early stage of pyomyositis. He had neck pain, tenderness, and fever. A computed tomography scan showed inflammation in the sternocleidomastoid muscle with no fluid collection. This progressed to a pus-filled drainable mass caused by Stapylococcus aureus. The authors describe this case to highlight the predictable stages and increase the index of suspicion to enhance its early recognition.