Pyomyositis

Four patients were admitted to Columbia Presbyterian Medical Center for evaluation of lower extremity pain and swelling. Three patients were initially misdiagnosed with cellulitis and one patient underwent evaluation for dermatomyositis. After consultation by the dermatologist, a correct diagnosis o...

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Bibliographic Details
Published in:Journal of the American Academy of Dermatology 2004-08, Vol.51 (2), p.308-314
Main Authors: Fox, Lindy Peta, Geyer, Adam S, Grossman, Marc E
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Cellulitis - diagnosis
Dermatology
Dermatomyositis - diagnosis
Diagnosis, Differential
Diseases of striated muscles. Neuromuscular diseases
Edema - etiology
Female
Fever - etiology
Humans
Male
Medical sciences
Middle Aged
Myositis - complications
Myositis - diagnosis
Neurology
Pain - etiology
Staphylococcal Infections - complications
Staphylococcal Infections - diagnosis
Staphylococcus aureus - isolation & purification
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Summary:Four patients were admitted to Columbia Presbyterian Medical Center for evaluation of lower extremity pain and swelling. Three patients were initially misdiagnosed with cellulitis and one patient underwent evaluation for dermatomyositis. After consultation by the dermatologist, a correct diagnosis of pyomyositis was made clinically and confirmed by imaging, surgery, or an interventional procedure. Wound, blood, and urine cultures were positive for methicillin-sensitive Staphylococcus aureus in 100%, 50%, and 25% of patients, respectively. After the appropriate diagnosis and treatment, all patients experienced rapid resolution of symptoms and a favorable outcome.
ISSN:0190-9622
1097-6787
DOI:10.1016/j.jaad.2004.01.060