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 "fever" symptom

22q11.2 deletion syndrome

acute rheumatic fever

alexander disease

allergic bronchopulmonary aspergillosis

canavan disease

carcinoma of the gallbladder

child syndrome

congenital toxoplasmosis

cushing syndrome

cystinuria

dracunculiasis

erdheim-chester disease

esophageal adenocarcinoma

esophageal carcinoma

familial mediterranean fever

focal myositis

hodgkin lymphoma, classical

lamellar ichthyosis

legionellosis

locked-in syndrome

malignant atrophic papulosis

neonatal adrenoleukodystrophy

neuralgic amyotrophy

oculocutaneous albinism

papillon-lefèvre syndrome

pyomyositis

pyruvate dehydrogenase deficiency

scrub typhus

severe combined immunodeficiency

sneddon syndrome

systemic capillary leak syndrome

triple a syndrome

typhoid

waldenström macroglobulinemia

wolf-hirschhorn syndrome

This symptom has already been validated