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Team Approach: Pyomyositis

Lovejoy, John F. III, MD1,a; Alexander, Kenneth, MD, PhD2; Dinan, David, MD1; Drehner, Dennis, DO1; Khan-Assad, Nazeema, MD1; Lacerda, Iara R.A., MD3

doi: 10.2106/JBJS.RVW.16.00048
Team Approach Review Article
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Disclosures

  • * Pediatric musculoskeletal infections are common, with variable presentations that are dependent on patient age, development, and disease severity. The current report focuses on a patient with pyomyositis.
  • * Pyomyositis traditionally has been observed in tropical climates, but it is increasingly being noted in more moderate climates throughout the United States. It predominately affects males, and Staphylococcus aureus is the primary causative agent.
  • * Children with suspected pyomyositis should be evaluated urgently for bacteremia. Diagnosis involves a thorough history and physical examination, with the understanding that the condition can present with a wide degree of variation.
  • * Definitive treatment requires antibiotics and often operative intervention. Sequelae can occur.

1Departments of Orthopaedics and Sports Medicine (J.F.L. III), Medical Imaging/Radiology (D. Dinan), Pathology and Laboratory Medicine (D. Drehner), and Pediatric Emergency Medicine (N.K.-A.), Nemours Children’s Hospital, Orlando, Florida

2Divisions of Allergy, Immunology, Rheumatology, and Infectious Diseases, University of Central Florida College of Medicine, Orlando, Florida

3Sarah Network of Rehabilitation Hospitals, Belo Horizonte, Brazil

aE-mail address for J.F. Lovejoy III: John.Lovejoy@nemours.org

Copyright © 2017 by The Journal of Bone and Joint Surgery, Incorporated
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