RESUMO
Heterotopic ossification in soft tissue or muscle is rare in the pediatric and adolescent age group. Most cases are associated with musculoskeletal injury and trauma to the central nervous system. Here, we describe an adolescent patient without a history of trauma or lesions in the central nervous system who presented with a painful limp with limited motion of the left hip. Investigations indicated unusually large heterotopic ossification extending from the inner aspect of the ilium down to the anterior part of the hip, highly likely to have developed after an unrecognized periacetabular pyomyositis primarily involving the iliacus muscle. Surgical excision was performed successfully without perioperative complications. No recurrence was detected at the final follow-up.
Assuntos
Articulação do Quadril/cirurgia , Ílio/fisiopatologia , Músculo Esquelético/fisiopatologia , Ossificação Heterotópica/etiologia , Complicações Pós-Operatórias/etiologia , Piomiosite/diagnóstico , Adolescente , Sistema Nervoso Central/patologia , Feminino , Humanos , Ossificação Heterotópica/psicologia , Transtornos Psicóticos/complicações , Piomiosite/complicações , Amplitude de Movimento Articular , Recidiva , Resultado do TratamentoRESUMO
Extraintestinal Salmonella infection involving the thoracic spine is very rare. It commonly presents with non-specific chronic back pain and can occur with no gastrointestinal manifestation. Blood test results and imaging findings are often indistinguishable from more common chronic spine infections such as spine tuberculosis. Culture studies remain the key to establishing a definitive diagnosis and subsequently successful treatment. We report a case in which a patient presented with symptoms and signs suggestive of spine tuberculosis, yet the culture examination revealed otherwise.
