Stage 3 pyomyositis of the gluteus minimus; Staphylococcus aureus sepsis, autoanticoagulation, proximal femoral osteomyelitis and the role of surgical intervention.

[pyomyositis]

Primary pyomyositis is a rare bacterial infection of the skeletal muscle . Traditionally a tropical disease , it is increasingly described in westernised urban populations . The aetiology is due to transient bacteraemia in the presence of risk factors such as traumatised muscle , or immunocompromise . The condition presents in one of three stages , representing progression of disease severity . Intravenous antibiotic therapy is often sufficient for this disease at its early stage , but surgical drainage is necessary for advanced presentations . We report a severe case of stage 3 pyomyositis of the gluteus minimus , which led to Staphylococcus aureus sepsis , deranged liver function , acute kidney injury , autoanticoagulation and proximal femoral osteomyelitis in a healthy 64 -year -old Caucasian man . This illustrates the potential severity of the disease , the life-threatening sequelae when diagnosis is delayed and the role of surgical drainage in averting the progression of systemic sepsis to end-organ dysfunction , disseminated intravascular coagulation and potentially death .

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Diseases presenting "but surgical drainage is necessary for advanced presentations" symptom

pyomyositis

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