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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
.
Diseases
Validation
Diseases presenting
"early stage"
symptom
adrenomyeloneuropathy
allergic bronchopulmonary aspergillosis
aromatase deficiency
cadasil
carcinoma of the gallbladder
child syndrome
cholangiocarcinoma
congenital adrenal hyperplasia
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
familial hypocalciuric hypercalcemia
familial mediterranean fever
gm1 gangliosidosis
harlequin ichthyosis
hereditary cerebral hemorrhage with amyloidosis
hodgkin lymphoma, classical
kindler syndrome
lymphangioleiomyomatosis
neonatal adrenoleukodystrophy
pyomyositis
scrub typhus
sneddon syndrome
typhoid
von hippel-lindau disease
zellweger syndrome
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