Synchronous pyomyositis and septic hip arthritis

I. Ming Jou, Nan Tsing Chiu, Kuo An Lai, Yin Ching Chuang

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)


The authors report a rare concomitant pyogenic infection of the iliopsoas, iliacus and external obturator muscles and of the hip joint in a 68-year-old woman. Because the patient showed the classic symptomatic triad of limping, hip pain and fever, in addition to positive hip arthrocentesis, the diagnosis of septic hip arthritis was routine, but the simultaneous pyomyositis was almost overlooked. Unusual localised heat and swelling on the front of the proximal thigh prompted a CT scan that identified remarkable muscle abscesses in addition to the septic arthritis. Surgical debridement and antibiotics resolved the infection relatively rapidly without sequelae. We noted that reaching a definitive diagnosis of such a concomitant infection requires a suspicion of the presence of pyomyositis, which can be definitively determined using advanced imaging studies.

Original languageEnglish
Pages (from-to)385-388
Number of pages4
JournalClinical Rheumatology
Issue number5
Publication statusPublished - 2000

All Science Journal Classification (ASJC) codes

  • Rheumatology


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