J Korean Soc Traumatol.  2006 Jun;19(1):81-88.

Clinical Analysis of Traumatic Pyomyositis in Emergency Patients

• Na JU
• Song HG

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.

Keyword

Pyomyositis; Diagnosis

MeSH Terms

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
Anti-Bacterial Agents