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Bilateral Obturator Pyomyositis with Visceral Involvement in an Immunocompetent Adult Patient Treated without Surgery.
[pyomyositis]
Abstract
Background
:
Primary
pyomyositis
is
a
rare
bacterial
infection
that
affects
large
muscle
groups
mainly
in
immunocompromised
patients
.
Treatment
options
include
antibiotic
treatment
with
surgical
or
radiologic
interventions
.
A
22
-
year
-old
immunocompetent
athlete
was
diagnosed
with
bilateral
obturator
muscle
pyomyositis
involving
pelvic
floor
muscles
and
the
urinary
bladder
after
muscle
injury
during
training
.
Intravenous
antibiotic
treatment
was
administered
,
resulting
in
eradication
of
the
infection
.
This
is
the
first
case
of
bilateral
obturator
pyomyositis
with
coexisting
involvement
of
pelvic
floor
muscles
(
levator
ani
)
and
viscera
(
urinary
bladder
)
treated
exclusively
and
with
success
by
the
administration
of
appropriate
antibiotic
therapy
.
A
non-operative
approach
may
could
be
attempted
for
the
avoidance
of
postoperative
morbidity
and
complications
,
especially
when
early
clinical
suspicion
and
diagnostic
work-up
lead
to
early
diagnosis
.
Diseases
Validation
Diseases presenting
"muscle groups"
symptom
focal myositis
inclusion body myositis
pyomyositis
systemic capillary leak syndrome
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