@article{3186649,
    title = "Multifocal Osteomyelitis Localization after Pyomyositis in Children:
Importance of Timely Response",
    author = "Angelis, Stavros and Trellopoulos, Angelos and Kondylis, Andreas K. and and Mirtsios, Hristos and Katsimantas, Antonios and Solakis, Evangelos P. and and Apostolopoulos, Alexandros P. and Kyriazis, Zisis and Michelarakis, and John N.",
    journal = "CUREUS",
    year = "2019",
    volume = "11",
    number = "4",
    publisher = "CUREUS INC",
    doi = "10.7759/cureus.4463",
    keywords = "pyomyositis; osteomyelitis; muscle abscess; infection; children",
    abstract = "Pyomyositis is a rare bacterial infection that used to prevail in
tropical areas for the past century. Nowadays though, more and more
cases are reported in high-temperature climate areas. Diagnosis is often
delayed due to the variance in clinical presentation, the challenging
nature of physical examination of a child, and lack of specific
laboratory investigating tools. When the diagnosis is delayed, the
outcome may be unpredictable. Multifocal localization through
hematogenous or direct spread that may affect the skeletal bone tissue
is common. Timely diagnosis and response is a race against septic shock.
We present a case series of seven children diagnosed with pyomyositis
due to Staphylococcus aureus. High or less clinical suspicion has
obviously affected the final outcome since two patients who were not
treated in time were subjected to a life-threatening hazard. Five
patients who were diagnosed and treated within the first three days
after initiation of their symptoms had a predictable and good outcome
without complications."
}