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Emergency department diagnosis of a quadriceps intramuscular loculated abscess/pyomyositis using dynamic compression bedside ultrasonography.
[pyomyositis]
A
73
-
year
-old
man
with
a
past
medical
history
of
myelodysplastic
syndrome
and
recent
chemotherapy
presented
to
the
emergency
department
with
a
1
-
week
history
of
progressively
increasing
left
thigh
pain
and
swelling
.
His
physical
examination
revealed
left
anterolateral
diffuse
thigh
swelling
with
no
erythema
or
warmth
to
palpation
.
The
anterolateral
quadriceps
was
markedly
tender
to
palpation
.
Emergency
department
bedside
dynamic
compression
ultrasonography
that
was
performed
on
the
left
anterolateral
thigh
revealed
a
quadriceps
intramuscular
abscess
with
loculated
yet
movable
pus
.
Bedside
dynamic
compression
ultrasonography
can
assist
the
emergency
or
critical
care
physician
in
the
diagnosis
of
quadriceps
intramuscular
abscess
or
pyomyositis
.
Diseases
Validation
Diseases presenting
"left anterolateral diffuse thigh swelling with no erythema"
symptom
pyomyositis
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