Septic emboli from pyomyositis

Pyomyositis commonly presents with fever, muscle pain and abscess formation involving deep soft-tissue compartments. Staphylococcus aureus is the main causative organism and diagnosis is usually established clinically, supported by imaging, but confirmation may be achieved by histopathological exami...

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Bibliographic Details
Published in:Tropical doctor 2020-10, Vol.50 (4), p.375-377
Main Authors: Mantilla-Flórez, Yesid Fabián, Echeverry-Díaz, Tatiana, de la Espriella, Laura Duarte, Tuta-Quintero, Eduardo Andrés
Format: Article
Language:English
Subjects:
Anti-Bacterial Agents - therapeutic use
Bacteremia - diagnosis
Bacteremia - etiology
Bacteremia - therapy
Colombia
Humans
Magnetic Resonance Imaging
Male
Pelvis - diagnostic imaging
Pelvis - microbiology
Pelvis - pathology
Pelvis - surgery
Pulmonary Embolism - diagnosis
Pulmonary Embolism - etiology
Pulmonary Embolism - therapy
Pyomyositis - complications
Pyomyositis - diagnosis
Pyomyositis - therapy
Staphylococcal Infections - complications
Staphylococcal Infections - diagnosis
Staphylococcal Infections - therapy
Staphylococcus aureus - isolation & purification
Young Adult
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Summary:Pyomyositis commonly presents with fever, muscle pain and abscess formation involving deep soft-tissue compartments. Staphylococcus aureus is the main causative organism and diagnosis is usually established clinically, supported by imaging, but confirmation may be achieved by histopathological examination. Broad-spectrum antibiotic therapy and surgical debridement are the cornerstone of treatment. Its prognosis is good but, as in all soft-tissue infections, it depends on early intervention, directed antibiotics and, if indicated, prompt surgery. In this paper, we describe a case of pelvic pyomyositis complicated with bacteraemia and bilateral septic pulmonary emboli in a young man in Colombia.
ISSN:0049-4755
1758-1133
DOI:10.1177/0049475520938166