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Pyopericardium complicated with cardiac tamponade: an unusual presenting manifestation of primary pyomyositis.
[pyomyositis]
Primary
pyomyositis
is
an
infective
condition
mainly
involving
the
skeletal
muscles
.
Various
cardiac
complications
reported
are
acute
bacterial
endocarditis
,
pyogenic
pericarditis
,
pancarditis
and
,
very
rarely
,
pyopericardium
presenting
as
cardiac
tamponade
.
We
report
a
case
of
15
-
year
-old
boy
presenting
with
complaints
of
fever
,
progressive
shortness
of
breath
and
retrosternal
pleuritic
chest
pain
.
He
also
complained
of
painful
swellings
of
left
arm
,
left
side
of
neck
and
left
thigh
extending
up
to
the
knee
joint
.
Ultrasonography
showed
collections
in
the
:
bilateral
sternocleidomastoid
;
subclavius
;
left
thigh
muscles
;
and
left
knee
joint
.
Echocardiography
showed
evidence
of
cardiac
tamponade
.
He
underwent
emergent
pericardiocentesis
and
frank
pus
was
drained
.
Pus
culture
grew
Methicillin
resistant
Staphylococcous
aureus
.
With
drainage
and
the
appropriate
antibiotics
,
he
improved
.
Diseases
Validation
Diseases presenting
"primary pyomyositis"
symptom
pyomyositis
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