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[Primary Pyomyositis of the muscles around the hip. case reports and literature review].
[pyomyositis]
The
authors
present
three
case
reports
of
primary
pyomyositis
,
a
severe
but
rare
disorder
involving
the
muscles
around
the
hip
.
In
three
boys
,
with
an
average
age
of
16
years
,
the
disease
developed
suddenly
in
association
with
strenuous
sporting
activities
.
The
boys
had
fever
,
pain
and
restricted
motion
at
hip
joints
,
haemoculture
tests
positive
for
Staphylococcus
aureus
and
the
presence
of
inflammatory
markers
.
Magnetic
resonance
findings
showed
infiltrates
and
abscesses
in
the
muscles
around
the
hip
.
X-
ray
and
computed
tomography
(
CT
)
examination
of
the
pelvis
revealed
bone
irregularities
near
the
pubic
symphysis
due
to
repeated
avulsion
injury
to
the
medial
group
of
the
thigh
muscles
in
two
boys
,
and
a
fresh
avulsion
of
the
anterior
inferior
iliac
spine
in
one
boy
.
This
patient
developed
reactive
synovitis
of
the
hip
and
iliopectineal
bursitis
.
All
three
patients
received
intravenous
antibiotic
therapy
,
first
with
broad
-spectrum
and
then
with
specific
anti-staphylococcus
antibiotics
,
for
2
to
3
months
.
Repeated
puncture
and
drainage
of
the
abscesses
under
CT
guidance
was
performed
in
one
patient
;
repeated
surgery
with
abscess
removal
was
necessary
in
two
patients
.
The
early
diagnosis
and
combined
conservative
and
surgical
treatment
prevented
development
of
the
third
,
septic
stage
of
this
disease
which
is
commonly
associated
with
serious
complications
.
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