Fungal Myositis in Children: Serial Ultrasonographic Findings
Journal of the Korean Radiological Society
;
: 131-135, 2003.
Article
in Korean
| WPRIM
| ID: wpr-95453
ABSTRACT
PURPOSE:
To evaluate serial ultrasonographic findings of fungal myositis in children. MATERIALS ANDMETHODS:
Eleven lesions caused by fungal myositis and occurring in six children were included in this study. Eight lesions in five children were histopathologically proven and the other three were clinically diagnosed. Serial ultrasonographic findings were retrospectively evaluated in terms of size, location, margin, internal echotexture and adjacent cortical change occurring during the follow-up period ranging from five days to two months.RESULTS:
Three patients (50%) had multiple lesions. The sites of involvment were the thigh (n=4), calf (n=3), chest wall (n=2), abdominal wall (n=1) and forearm (n=1). Initially, diffuse muscular swelling was revealed, with ill-defined hypoechoic lesions confined to the muscle layer (n=8). Follow-up examination of eight lesions over a period of 5-10 days showed that round central echogenic lesions were surrounded by previous slightly echogenic lesions (n=6, 75%). Long-term follow-up of five lesions over a two-month period revealed periosteal thickening in one case (20%), and the peristence of echogenic solid nodules in four (80%). Pathologic examination showed that the central lesions correlated with a fungus ball and the peripheral slightly echogenic lesions corresponded to hematoma and necrosis.CONCLUSION:
Serial ultrasonographic findings of fungal myositis in children revealed relatively constant features in each case. In particular, the findings of muscular necrosis and a fungus ball over a period of 5-14 days were thought to be characteristic.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Thigh
/
Retrospective Studies
/
Follow-Up Studies
/
Abdominal Wall
/
Thoracic Wall
/
Forearm
/
Fungi
/
Hematoma
/
Myositis
/
Necrosis
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Child
/
Humans
Language:
Korean
Journal:
Journal of the Korean Radiological Society
Year:
2003
Type:
Article
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