Korean J Pediatr.  2005 Jan;48(1):88-92.

A Case of Pyomyositis and Toxic Shock Syndrome Caused by Methicillin Resistant Staphylococcus aureus

• Kim YK
• Kim DH
• Kim SK
• Son BK
• Hong YJ

Abstract

Pyomysitis is a primary acute bacterial infection of large skeletal muscule, usually occuring in the absence of specific cause of infection. Pyomyositis has been reported mainly in tropical countries and was rare in temperate climates. but it has been recognized with increasing frequency. Toxic shock syndrome(TSS) is an acute mutisystemic disease characterized by high fever, hypotension, multisystem dysfunction and erythematous rash followed by skin desquamation 8-12 days after onset. Especially, TSS and pyomyositis are rare conditions in the pediatric population. We experienced one case in a healthy 13-year-girl who developed pyomyositis of the right ileac and gluteal muscles associated with TSS caused by methicillin resistant Staphylococcus aureus. We reports a case of acute pyomyositis with TSS, in which the diagnosis was difficult because of the relative rare incidence in temperate climates and its vague symptoms. To our knowledge, this is the first reported case of pyomyositis with TSS in Korean pediatric population.

Keyword

Myositis; Toxic shock syndrome; Staphylococcus aureus; Methicillin resistance

MeSH Terms

Bacterial Infections
Climate
Diagnosis
Exanthema
Fever
Hypotension
Incidence
Methicillin Resistance*
Methicillin*
Muscles
Myositis
Pyomyositis*
Shock, Septic*
Skin
Staphylococcus aureus*
Staphylococcus*
Methicillin