Clinical Analysis of Traumatic Pyomyositis in Emergency Patients.
- Author:
Ji Ung NA
1
;
Hyoung Gon SONG
Author Information
1. Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea. cprking@smc.samsung.co.kr
- Publication Type:Original Article
- Keywords:
Pyomyositis;
Diagnosis
- MeSH:
Anti-Bacterial Agents;
Climate;
Diagnosis;
Diagnosis, Differential;
Drainage;
Emergencies*;
Emergency Service, Hospital;
Humans;
Korea;
Magnetic Resonance Imaging;
Medical Records;
Myalgia;
Psoas Muscles;
Pyomyositis*;
Rare Diseases;
Seoul
- From:Journal of the Korean Society of Traumatology
2006;19(1):81-88
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Pyomyositis is a rare disease in temperature climate region. The diagnosis of pyomyositis is often delayed, and pyomyositis is often misdiagnosed in the emergency department. METHODS: The medical records of 11 patients who were diagnosed as having traumatic pyomyositis in the emergency department at Samsung Medical Center in Seoul, Korea, between 2000 and 2006 were reviewed. Their clinical features, such as history, symptoms, clinical findings, duration from onset of symptoms to diagnosis, medical history, laboratory data, results of imaging studies and clinical course were collected. RESULTS: The psoas muscles were most commonly involved. Computer tomography and magnetic resonance imaging aided in accurate diagnosis of the infection and of the extent of involvement. Incision, drainage, and antibiotics therapy eradicated the infectioin in all patients CONCLUSION: Pyomyositis should be a part of the differential diagnosis for patients with traumatic muscle pain. Radiologic evaluation, such as computer tomography and magnetic resonance imaging, must be considered in the diagnosis of traumatic pyomyositis.
