Abstract
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 language | English |
|---|---|
| Pages (from-to) | 385-388 |
| Number of pages | 4 |
| Journal | Clinical Rheumatology |
| Volume | 19 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - 2000 Jan 1 |
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All Science Journal Classification (ASJC) codes
- Rheumatology
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Synchronous pyomyositis and septic hip arthritis. / Jou, I. Ming; Chiu, Nan-Tsing; Lai, Kuo-An; Chuang, Yin Ching.
In: Clinical Rheumatology, Vol. 19, No. 5, 01.01.2000, p. 385-388.Research output: Contribution to journal › Article
TY - JOUR
T1 - Synchronous pyomyositis and septic hip arthritis
AU - Jou, I. Ming
AU - Chiu, Nan-Tsing
AU - Lai, Kuo-An
AU - Chuang, Yin Ching
PY - 2000/1/1
Y1 - 2000/1/1
N2 - 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.
AB - 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.
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UR - http://www.scopus.com/inward/citedby.url?scp=0033802704&partnerID=8YFLogxK
U2 - 10.1007/PL00011176
DO - 10.1007/PL00011176
M3 - Article
VL - 19
SP - 385
EP - 388
JO - Clinical Rheumatology
JF - Clinical Rheumatology
SN - 0770-3198
IS - 5
ER -