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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
.
