ABSTRACT
We report a case study on a patient who presented with low back and thigh pain of one month duration. He was eventually diagnosed with left thigh pyomyositis. Tissue from thigh grew Staphylococcus aureus. With commencement of antibiotics and surgical drainage, patient made recovery despite prolonged hospital stay. The underlying mechanism of the extensive abscess accompanied by lack of systemic symptoms; is related to relative immunocompromised state of having underlying diabetes mellitus.
Subject(s)
Pyomyositis/diagnosis , Quadriceps Muscle/pathology , Staphylococcal Infections/diagnosis , Staphylococcus aureus/isolation & purification , Anti-Bacterial Agents/administration & dosage , Drainage/methods , Hospitalization , Humans , Length of Stay , Male , Middle Aged , Pyomyositis/microbiology , Quadriceps Muscle/microbiology , Staphylococcal Infections/complications , Staphylococcal Infections/pathology , ThighSubject(s)
Klebsiella Infections/diagnosis , Klebsiella Infections/pathology , Klebsiella pneumoniae/isolation & purification , Pyomyositis/diagnosis , Pyomyositis/pathology , Quadriceps Muscle/pathology , Anti-Bacterial Agents/therapeutic use , Hip/diagnostic imaging , Humans , Klebsiella Infections/drug therapy , Klebsiella Infections/microbiology , Male , Middle Aged , Pyomyositis/drug therapy , Pyomyositis/microbiology , Quadriceps Muscle/microbiology , Thigh/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
Methicillin-resistant Staphylococcus aureus (MRSA) is an important causative agent in myositis and pyomyositis, but its involvement in quadriceps tendon tears has not been reported until now. In the case reported here, accurate diagnosis was delayed because of the unique presentation, and the infection was mismanaged with corticosteroids because of the presumptive diagnosis of an inflammatory pathology. Subsequently, aggressive surgical and antibiotic management produced a satisfactory outcome. Early detection and appropriate management of these infections are extremely important in preventing limb- and life-threatening consequences.
Subject(s)
Methicillin-Resistant Staphylococcus aureus/isolation & purification , Staphylococcal Infections/complications , Tendon Injuries/etiology , Female , Humans , Quadriceps Muscle/microbiology , Quadriceps Muscle/surgery , Staphylococcal Infections/surgery , Tendon Injuries/microbiology , Tendon Injuries/surgery , Treatment Outcome , Young AdultSubject(s)
Abscess/diagnosis , Klebsiella Infections/diagnosis , Klebsiella pneumoniae/isolation & purification , Magnetic Resonance Imaging , Pyomyositis/diagnosis , Quadriceps Muscle/pathology , Streptococcal Infections/diagnosis , Viridans Streptococci/isolation & purification , Abscess/drug therapy , Abscess/microbiology , Abscess/surgery , Aged , Anti-Bacterial Agents/therapeutic use , Ceftriaxone/therapeutic use , Coinfection/diagnosis , Coinfection/drug therapy , Coinfection/microbiology , Coinfection/surgery , Combined Modality Therapy , Drainage , Humans , Klebsiella Infections/complications , Klebsiella Infections/drug therapy , Klebsiella Infections/surgery , Male , Peripheral Arterial Disease/complications , Pyomyositis/drug therapy , Pyomyositis/microbiology , Pyomyositis/surgery , Quadriceps Muscle/microbiology , Streptococcal Infections/complications , Streptococcal Infections/drug therapy , Streptococcal Infections/surgeryABSTRACT
Tuberculosis of skeletal muscle is very rare, especially in immunocompetent patients. We describe a case of tuberculous abscess of rectus femoris muscle, which presented as a tender ill-defined mass. Diagnosis was established by PCR and histology. The patient showed marked improvement with a standard four-drug regimen with no evidence of disease activity at the two-year follow-up.
