ABSTRACT
We report the first case of glossal necrotizing myositis by group A beta-hemolytic Streptococcus in an 8-year-old girl on chronic nonsteroidal anti-inflammatory drugs, immunomodulators, and steroids for juvenile rheumatoid arthritis. Treatment included partial glossectomy and parenteral antibiotics. After a critical course, full recovery ensued. The subject of necrotizing myositis is reviewed.
Subject(s)
Myositis/diagnosis , Myositis/therapy , Streptococcal Infections/diagnosis , Streptococcal Infections/therapy , Streptococcus pyogenes/isolation & purification , Anti-Bacterial Agents/therapeutic use , Anti-Inflammatory Agents/therapeutic use , Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Child , Epiglottitis , Female , Glossectomy , Humans , Myositis/microbiology , Necrosis/diagnosis , Necrosis/therapy , Practice Guidelines as Topic , Practice Patterns, Physicians' , Streptococcal Infections/microbiologyABSTRACT
The objectives of this study were to compare the reliability and accuracy of published methods of measuring intramuscular compartment pressures. A muscle compartment model was constructed. Pressure was standardized using a water column exerting pressure on a muscle slab. The following three methods of intracompartmental pressure were used to measure the pressure within the muscle slab of the model: (1) Stryker, (2) manometric IV pump, and (3) Whitesides method. The Stryker and IV pump methods were similarly accurate compared with the "standard pressure." The Whitesides method was not reliable in measuring a reproducible pressure. The IV pump method is comparable to the Stryker instrument in terms of accuracy and ease of use. If a Stryker instrument is unavailable, the IV pump method can serve as a suitable and satisfactory alternative.