Document Detail

Streptococcal pyomyositis of the psoas: case reports and review.
MedLine Citation:
PMID:  16651916     Owner:  NLM     Status:  MEDLINE    
We present two unusual cases of pyomyositis of the psoas muscle caused by Group A beta-hemolytic streptococcus (GABHS) in children presenting with fever, emesis and leg pain. Pyomyositis secondary to GABHS is rare in children and cases involving the psoas muscle have not been previously reported. In our discussion, we review the epidemiology, presentation, diagnosis and treatment of GABHS psoas myositis in comparison with staphylococcal pyomyositis. Prompt recognition of the signs and symptoms of GABHS psoas pyomyositis is essential for treatment of this life-threatening infection.
Leah Kern; Caroline Rassbach; Mary Ottolini
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Pediatric emergency care     Volume:  22     ISSN:  1535-1815     ISO Abbreviation:  Pediatr Emerg Care     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-05-02     Completed Date:  2006-10-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8507560     Medline TA:  Pediatr Emerg Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  250-3     Citation Subset:  IM    
Children's National Medical Center, Washington, DC, USA.
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MeSH Terms
Anti-Bacterial Agents / therapeutic use
Appendicitis / diagnosis
Child, Preschool
Diagnosis, Differential
Fever / etiology
Leukocyte Count
Myositis / blood,  complications,  diagnosis*,  therapy*
Pain / etiology
Pelvis / radiography
Psoas Muscles*
Shock, Septic / diagnosis
Streptococcal Infections / blood,  complications,  diagnosis*,  therapy*
Streptococcus pyogenes*
Treatment Outcome
Vomiting / etiology
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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