| Pneumoccocal Pyomyositis: Report of two cases and a review of the literature. | |
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MedLine Citation:
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PMID: 22523257 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Streptococcus pneumoniae is an uncommon cause of pyomyositis. It is unclear if the clinical presentation and outcome of pneumococcal pyomyositis differ depending on underlying host immune status. We report 2 patients with pneumococcal pyomyositis, review all published cases and compare patient characteristics in apparently normal and at-risk hosts.A total of 35 cases of pneumococcal pyomyositis were identified, 11 in apparently normal hosts and 24 in at-risk hosts. Two-thirds of the patients had an antecedent respiratory illness or meningitis. At-risk hosts tended to have a longer time interval between development of symptomatic muscle infection to diagnosis of pyomyositis and a significantly higher risk of disseminated disease at presentation, manifested by involvement of multiple non-contiguous muscles or presence of meningitis. Overall, other than 1 death, all other patients recovered with antibiotics and surgical drainage but as might be expected there was a significantly higher rate of complications in those at-risk. |
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Authors:
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Rebecca J Zadroga; Dylan Zylla; Kelly Cawcutt; Daniel M Musher; Pankaj Gupta; Michael Kuskowski; Ayse Dincer; Anjum S Kaka |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-4-20 |
Journal Detail:
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Title: Clinical infectious diseases : an official publication of the Infectious Diseases Society of America Volume: - ISSN: 1537-6591 ISO Abbreviation: - Publication Date: 2012 Apr |
Date Detail:
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Created Date: 2012-4-23 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9203213 Medline TA: Clin Infect Dis Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Veteran's Affairs Medical Center, Minneapolis, MN, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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