TY - JOUR
TI - Multifocal Osteomyelitis Localization after Pyomyositis in Children:
Importance of Timely Response
AU - Angelis, Stavros
AU - Trellopoulos, Angelos
AU - Kondylis, Andreas K. and
AU - Mirtsios, Hristos
AU - Katsimantas, Antonios
AU - Solakis, Evangelos P.
AU - and Apostolopoulos, Alexandros P.
AU - Kyriazis, Zisis
AU - Michelarakis,
AU - John N.
JO - CUREUS
PY - 2019
VL - 11
TODO - 4
SP - null
PB - CUREUS INC
SN - null
TODO - 10.7759/cureus.4463
TODO - pyomyositis; osteomyelitis; muscle abscess; infection; children
TODO - 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.
ER -