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Primary pelvic pyomyositis in a neonate

Abstract

Primary pyomyositis is a bacterial infection occurring in skeletal muscle with no obvious local or adjacent cause. It is classically an infection of the tropics, although it is reported in temperate climates with increasing frequency. Tropical pyomyositis occurs predominantly in children aged between 2 and 5 and in adults aged between 20 and 45 years, whereas most temperate pyomyositis cases occur in adults. Using a magnetic resonance imaging scan, we made the diagnosis of staphylococcal pelvic pyomyositis in a Swiss term-born infant with an initial working diagnosis of septic hip osteoarthritis.

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References

  1. Bickels J, Ben-Sira L, Kessler A, Wientroub S . Primary pyomyositis. J Bone Joint Surg Am 2002; 84-A: 2277–2286.

    Article  CAS  Google Scholar 

  2. Crum-Cianflone NF . Infection and musculoskeletal conditions: infectious myositis. Best Pract Res Clin Rheumatol 2006; 20: 1083–1097.

    Article  Google Scholar 

  3. Gaynes RP, Edwards JR, Jarvis WR, Culver DH, Tolson JS, Martone WJ . Nosocomial infections among neonates in high-risk nurseries in the United States. National Nosocomial Infections Surveillance System. Pediatrics 1996; 98: 357–361.

    CAS  PubMed  Google Scholar 

  4. Denniston S, Riordan FA . Staphylococcus aureus bacteraemia in children and neonates: a 10 year retrospective review. J Infect 2006; 53: 387–393.

    Article  Google Scholar 

  5. Sedaghatian MR, Barkhordar J, Gerami S . Retroperitoneal abscess presenting as an abdominal mass in neonate. J Pediatr Surg 1978; 13: 544–545.

    Article  CAS  Google Scholar 

  6. Maddox Jr JL, Riordan TP, Odom RB . Pyomyositis in a neonate. J Am Acad Dermatol 1984; 10: 391–394.

    Article  Google Scholar 

  7. Vasquez LA, Patel S, Saslow JG, Velcek FT . Psoas abscess in the neonate. N Y State J Med 1989; 89: 421–422.

    CAS  PubMed  Google Scholar 

  8. Gardiner JS, Zauk AM, Minnefor AB, Boyd LC, Avella DG, McInerney VK . Pyomyositis in an HIV-positive premature infant: case report and review of the literature. J Pediatr Orthop 1990; 10: 791–793.

    Article  CAS  Google Scholar 

  9. François A, Brault D, Lehujeur C, Lucas G, Le Loc'h H . Abcès du psoas néonatal simulant une arthrite de hanche (cas radiologique du mois). Arch Fr Pédiatr 1992; 49: 55–56.

    PubMed  Google Scholar 

  10. Singer J . Neonatal psoas pyomyositis simulating pyarthrosis of the hip. Pediatr Emerg Care 1993; 9: 87–89.

    Article  CAS  Google Scholar 

  11. Gutman LT . Acute, subacute, and chronic osteomyelitis and pyogenic arthritis in children. Curr Probl Pediatr 1985; 15: 1–72.

    CAS  PubMed  Google Scholar 

  12. Offiah AC . Acute osteomyelitis, septic arthritis and discitis: differences between neonates and older children. Eur J Radiol 2006; 60: 221–232.

    Article  CAS  Google Scholar 

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Correspondence to M G Bianchetti.

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Falesi, M., Regazzoni, B., Wyttenbach, M. et al. Primary pelvic pyomyositis in a neonate. J Perinatol 29, 830–831 (2009). https://doi.org/10.1038/jp.2009.106

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