Complications included pyomyositis
in 7 children, septic arthritis in 6 children, and osteomyelitis in 10 children (among them 3 cases that were multifocal and 2 that were fractures).
associated with pyogenic liver abscesses.
Despite the range of infections caused by CoNS, pyomyositis
(a bacterial infection of skeletal muscle most commonly caused by Staphylococcus aureus) is exceedingly rare.
As in the report of Stevens et al., (10) recurrence of hip osteomyelitis with secondary pyomyositis
of the adjoining muscles would be a probable case scenario that could explain staphylococcal reactivation.
* Cellulitis, pyomyositis
, soft tissue abscess are seen in patients who are on insulin, are differentiated based on the skin changes.
Nourse, "Increasing pyomyositis
presentations among children in Queensland, Australia," Pediatric Infectious Disease Journal, vol.
Histopathological examination of the specimen showed extensive necrotizing fasciitis and pyomyositis
. Wound cultures grew gram-negative bacilli, which were identified as Aeromonas hydrophila.
SAN FRANCISCO -- An increase in community-acquired methicillin-resistant Staphylococcus aureus over the past 5 years was accompanied by an increase in myositis and pyomyositis
in children at one hospital, reported Dr.
The study also showed that MRI--but not bone scan--allowed for visualization of extraosseous complications, including subperiosteal abscesses in 77 patients, pyomyositis
in 43, septic arthritis in 31, and deep vein thrombosis in 12.
Acute osteitis and septic arthritis occur in or close to major joints, and may be difficult to distinguish from each other or from pyomyositis
. Cellulitis is rare in children.
in an injecting drug misuser.
Primary haemophilus influenza pyomyositis
in an infant: a case report.