Septic emboli from pyomyositis

Yesid Fabián Mantilla-Flórez, Tatiana Echeverry-Díaz, Laura Duarte de la Espriella, Eduardo Andrés Tuta-Quintero
Tropical Doctor 2020 July 5, : 49475520938166
Pyomyositis commonly presents with fever, muscle pain and abscess formation involving deep soft-tissue compartments. Staphylococcus aureus is the main causative organism and diagnosis is usually established clinically, supported by imaging, but confirmation may be achieved by histopathological examination. Broad-spectrum antibiotic therapy and surgical debridement are the cornerstone of treatment. Its prognosis is good but, as in all soft-tissue infections, it depends on early intervention, directed antibiotics and, if indicated, prompt surgery. In this paper, we describe a case of pelvic pyomyositis complicated with bacteraemia and bilateral septic pulmonary emboli in a young man in Colombia.

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