An intramuscular suppuration of the large skeletal muscle groups. It is associated with INFECTION such as STAPHYLOCOCCUS AUREUS and PYODERMA. It was known as a tropical disease but is increasing among the immunocompromised (IMMUNOCOMPROMISED HOST). Symptoms include muscle pain, FEVER, and leucocytosis. It has been diagnosed by MRI SCANS.
Inflammation of a muscle or muscle tissue.
Antibiotic analog of CLOXACILLIN.
Accumulation of purulent material in tissues, organs, or circumscribed spaces, usually associated with signs of infection.
A pathologic process consisting in the formation of pus.
Abscess of the PSOAS MUSCLES resulting usually from disease of the lumbar vertebrae, with the pus descending into the muscle sheath. The infection is most commonly tuberculous or staphylococcal.
Deep muscles in the BACK whose function is to extend and rotate the SPINE and maintain POSTURE. It consists splenius, semispinalis, multifidus, rotatores, interspinales, intertransversarii and sacrospinalis.
Infections with bacteria of the genus STAPHYLOCOCCUS.
The portion of the leg in humans and other animals found between the HIP and KNEE.
A chronic PELVIC PAIN characterized by pain deep in the buttock that may radiate to posterior aspects of the leg. It is caused by the piriformis muscle compressing or irritating the SCIATIC NERVE due to trauma, hypertrophy, inflammation or anatomic variations.
Either of two fleshy protuberances at the lower posterior section of the trunk or HIP in humans and primate on which a person or animal sits, consisting of gluteal MUSCLES and fat.
The largest of three bones that make up each half of the pelvic girdle.
The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.
An abscess located in the abdominal cavity, i.e., the cavity between the diaphragm above and the pelvis below. (From Dorland, 27th ed)
Diseases characterized by inflammation involving multiple muscles. This may occur as an acute or chronic condition associated with medication toxicity (DRUG TOXICITY); CONNECTIVE TISSUE DISEASES; infections; malignant NEOPLASMS; and other disorders. The term polymyositis is frequently used to refer to a specific clinical entity characterized by subacute or slowly progressing symmetrical weakness primarily affecting the proximal limb and trunk muscles. The illness may occur at any age, but is most frequent in the fourth to sixth decade of life. Weakness of pharyngeal and laryngeal muscles, interstitial lung disease, and inflammation of the myocardium may also occur. Muscle biopsy reveals widespread destruction of segments of muscle fibers and an inflammatory cellular response. (Adams et al., Principles of Neurology, 6th ed, pp1404-9)

Pyomyositis associated with hematological malignancy: case report and review of the literature. (1/35)

Pyomyositis occurs most commonly in patients with various immunosuppressive diseases. However, the association of pyomyositis with an underlying hematological malignancy has not been reviewed. We present herein a relevant case and also review the available literature regarding the association of non-tropical pyomyositis and hematological malignancies. The case patient, a 46-year old female, had non-tropical pyomyositis of the iliopsoas and obturator muscles due to Staphylococcus aureus and underlying Hodgkin's disease. Forty-four patients with pyomyositis and an associated hematological malignant disease have been reported in the literature. The most common types of hematological oncology diseases found were acute lymphocytic leukemia (present in 11/44 patients (25%)) and multiple myeloma (7/44 patients (15.9%)). Staphylococcus aureus was the most common cause of pyomyositis (26 out of 44 patients (59.1%)). The muscles of the thigh were most commonly affected (18/44 patients (40.9%)). Medical therapy with antibiotics and surgical drainage were employed in 25/44 (56.8%) of the patients. Thirty out of 44 (68.2%) of the patients had a successful outcome. Death occurred in 5/44 (11.4%) patients. In cases of pyomyositis, the physician should consider an underlying hematological malignancy.  (+info)

Case of pyomyositis due to Mycobacterium haemophilum in a renal transplant recipient. (2/35)

We report a case of pyomyositis due to Mycobacterium haemophilum in a renal transplant recipient. M. haemophilum was identified by PCR-mediated sequence analysis of the heat shock protein gene in the DNA of the specimen. The patient was successfully treated with repeated surgical debridement and prolonged antimycobacterial therapy.  (+info)

Primary pyomyositis of the paraspinal muscles: a case report and literature review. (3/35)

A case of non-tropical pyomyositis in a healthy, adolescent, 13-year-old boy, affecting the paraspinal muscles is presented. Computerised axial tomography scan (CT scan) of the spine provided valuable information on the nature, extent of the disease and helped to plan successful surgical management. None of the reported cases of such severity of paraspinal pyomyositis had involvement of quadratus lumborum muscle or compression on retroperitoneal organ as in our case.  (+info)

Tuberculous pyomyositis of the thigh masquerading as malignancy with concomitant tuberculous flexor tenosynovitis and dactylitis of the hand. (4/35)

Multifocal involvement of the skeleton is extremely rare, with tuberculous pyomyositis and tenosynovitis of the wrist being uncommon presentations of skeletal tuberculosis (TB). We present an immunocompetent 68-year-old woman with concomitant presentation of these uncommon forms of extrapulmonary TB heralded by tuberculous pyomyositis. Tuberculous pyomyositis can often masquerade as malignancy, leading to misdiagnosis and patients being mistakenly referred to oncologists for management. This delayed the institution of appropriate drug therapy. Similarly, because of its rarity, tuberculous tenosynovitis may be overlooked as a cause of chronic tenosynovitis. In the absence of pathognomonic imaging findings, the diagnosis ultimately rests on histopathological and microbiological confirmation. This case highlights the importance of maintaining a high index of suspicion of the protean manifestations of extrapulmonary TB, not only in high-risk populations, but in immunocompetent individuals as well. It also illustrates the advantage of a clinically-directed multidisciplinary approach in early recognition and treatment of this entity.  (+info)

Septic pulmonary emboli and bacteremia associated with deep tissue infections caused by community-acquired methicillin-resistant Staphylococcus aureus. (5/35)

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Increased oxacillin resistance in thigh pyomyositis in diabetic patients. (6/35)

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An unusual case of Lemierre's syndrome presenting as pyomyositis. (7/35)

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Pyomyositis of the iliacus muscle complicated with septic sacroiliitis. (8/35)

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Pyomyositis is a bacterial infection of the muscle tissue that is characterized by the formation of abscesses within the muscle. It primarily affects the large muscles of the thighs, shoulders, and buttocks. The infection usually occurs in people with weakened immune systems, such as those with HIV/AIDS, diabetes, or chronic kidney disease.

The most common causative agent of pyomyositis is Staphylococcus aureus, although other bacteria can also cause the condition. Symptoms may include fever, muscle pain and tenderness, swelling, and weakness. If left untreated, pyomyositis can lead to serious complications such as sepsis, bacteremia, and even death. Treatment typically involves antibiotics and surgical drainage of any abscesses that have formed.

Myositis is a medical term that refers to inflammation of the muscle tissue. This condition can cause various symptoms, including muscle weakness, pain, swelling, and stiffness. There are several types of myositis, such as polymyositis, dermatomyositis, and inclusion body myositis, which have different causes and characteristics.

Polymyositis is a type of myositis that affects multiple muscle groups, particularly those close to the trunk of the body. Dermatomyositis is characterized by muscle inflammation as well as a skin rash. Inclusion body myositis is a less common form of myositis that typically affects older adults and can cause both muscle weakness and wasting.

The causes of myositis vary depending on the type, but they can include autoimmune disorders, infections, medications, and other medical conditions. Treatment for myositis may involve medication to reduce inflammation, physical therapy to maintain muscle strength and flexibility, and lifestyle changes to manage symptoms and prevent complications.

Flucloxacillin is not strictly a medical "definition," but rather it is an antibiotic medication used to treat infections caused by susceptible gram-positive bacteria, such as Staphylococcus aureus, including methicillin-sensitive strains. It is a semisynthetic penicillin derivative that is resistant to degradation by beta-lactamases produced by many bacteria, making it effective against some bacteria that are resistant to other penicillins.

Flucloxacillin works by inhibiting the synthesis of bacterial cell walls, leading to bacterial death. It is often used to treat skin and soft tissue infections, bone and joint infections, and endocarditis caused by susceptible organisms. Like other antibiotics, flucloxacillin should be used judiciously to prevent the development of antimicrobial resistance.

It's important to note that the use of any medication, including flucloxacillin, should be under the guidance and supervision of a healthcare professional, who can consider the individual patient's medical history, current medications, and other factors to determine the most appropriate treatment.

An abscess is a localized collection of pus caused by an infection. It is typically characterized by inflammation, redness, warmth, pain, and swelling in the affected area. Abscesses can form in various parts of the body, including the skin, teeth, lungs, brain, and abdominal organs. They are usually treated with antibiotics to eliminate the infection and may require drainage if they are large or located in a critical area. If left untreated, an abscess can lead to serious complications such as sepsis or organ failure.

Suppuration is the process of forming or discharging pus. It is a condition that results from infection, tissue death (necrosis), or injury, where white blood cells (leukocytes) accumulate to combat the infection and subsequently die, forming pus. The pus consists of dead leukocytes, dead tissue, debris, and microbes (bacteria, fungi, or protozoa). Suppuration can occur in various body parts such as the lungs (empyema), brain (abscess), or skin (carbuncle, furuncle). Treatment typically involves draining the pus and administering appropriate antibiotics to eliminate the infection.

A psoas abscess is a localized collection of pus (infectious material) in the iliopsoas muscle compartment, which consists of the psoas major and iliacus muscles. These muscles are located in the lower back and pelvis, responsible for flexing the hip joint.

Psoas abscesses can be classified as primary or secondary:

1. Primary psoas abscess: This type is caused by hematogenous spread (dissemination through the blood) of a bacterial infection from a distant site, often involving the gastrointestinal tract, genitourinary system, or skin. It is less common and typically seen in individuals with compromised immune systems.
2. Secondary psoas abscess: This type is caused by direct extension of an infection from a nearby anatomical structure, such as the spine, vertebral column, or retroperitoneal space (the area behind the peritoneum, the lining of the abdominal cavity). Common causes include spinal osteomyelitis (spinal bone infection), discitis (infection of the intervertebral disc), or a perforated viscus (a hole in an organ like the bowel).

Symptoms of a psoas abscess may include lower back pain, hip pain, fever, chills, and difficulty walking. Diagnosis typically involves imaging studies such as CT scans or MRIs, which can confirm the presence and extent of the abscess. Treatment usually consists of antibiotic therapy and drainage of the abscess, often through a percutaneous (through the skin) approach guided by imaging. In some cases, surgical intervention may be necessary for adequate drainage and management.

Paraspinal muscles are a group of muscles that run along the vertebral column, primarily on either side of the spine. These muscles play an essential role in providing stability, support, and mobility to the spine. They assist in movements such as bending, rotating, and extending the trunk, and help maintain proper posture.

There are several layers of paraspinal muscles, including:

1. Erector spinae: A set of three columns of muscles (iliocostalis, longissimus, and spinalis) that extend from the sacrum to the skull, helping to straighten and rotate the spine.
2. Multifidus: Deep muscles that attach directly to individual vertebrae, providing stability and limiting excessive movement between them.
3. Semispinalis: A group of muscles located more superficially than the multifidus but deeper than the erector spinae, which help extend the spine.
4. Rotators: Smaller muscles that assist in rotating and stabilizing the vertebral column.

Paraspinal muscle dysfunction or injury can lead to back pain, stiffness, and decreased mobility. Proper care and conditioning of these muscles are crucial for maintaining a healthy spine and overall spinal function.

Staphylococcal infections are a type of infection caused by Staphylococcus bacteria, which are commonly found on the skin and nose of healthy people. However, if they enter the body through a cut, scratch, or other wound, they can cause an infection.

There are several types of Staphylococcus bacteria, but the most common one that causes infections is Staphylococcus aureus. These infections can range from minor skin infections such as pimples, boils, and impetigo to serious conditions such as pneumonia, bloodstream infections, and toxic shock syndrome.

Symptoms of staphylococcal infections depend on the type and severity of the infection. Treatment typically involves antibiotics, either topical or oral, depending on the severity and location of the infection. In some cases, hospitalization may be necessary for more severe infections. It is important to note that some strains of Staphylococcus aureus have developed resistance to certain antibiotics, making them more difficult to treat.

In the context of human anatomy, the thigh is the part of the lower limb that extends from the hip to the knee. It is the upper and largest portion of the leg and is primarily composed of the femur bone, which is the longest and strongest bone in the human body, as well as several muscles including the quadriceps femoris (front thigh), hamstrings (back thigh), and adductors (inner thigh). The major blood vessels and nerves that supply the lower limb also pass through the thigh.

Piriformis Muscle Syndrome (PMS) is not explicitly defined in formal medical textbooks or peer-reviewed articles. However, it is generally described as a condition characterized by the entrapment or compression of the sciatic nerve by the piriformis muscle, leading to symptoms similar to those seen in sciatica. The piriformis muscle is a flat, band-like muscle located in the buttock region, deep to the gluteus maximus. It plays a crucial role in rotating the hip and stabilizing the pelvis during walking and running.

The symptoms of PMS may include:

1. Pain, numbness, or tingling in the buttocks, often radiating down the back of the thigh and leg (similar to sciatica)
2. Worsening pain with sitting, climbing stairs, or performing other activities that involve hip flexion and rotation
3. Reduced range of motion in the hip joint
4. Tenderness when pressing on the piriformis muscle

It is essential to consult a healthcare professional for an accurate diagnosis, as PMS can sometimes be confused with other conditions such as herniated discs or spinal stenosis. Proper diagnosis and appropriate treatment are necessary to alleviate symptoms and prevent potential complications.

The buttocks are the rounded part of the lower back, above the hips. They are formed by the masses of muscle tissue (gluteal muscles) and fat that cover the coccyx and sacrum, which are the terminal parts of the vertebral column. The primary function of the gluteal muscles is to provide stability and strength for walking, running, and jumping movements.

In anatomical terms, the buttocks are also known as the natis or nates. Medical professionals may use these terms when discussing conditions or treatments related to this area of the body.

The ilium is the largest and broadest of the three parts that make up the hip bone or coxal bone. It is the uppermost portion of the pelvis and forms the side of the waist. The ilium has a curved, fan-like shape and articulates with the sacrum at the back to form the sacroiliac joint. The large, concave surface on the top of the ilium is called the iliac crest, which can be felt as a prominent ridge extending from the front of the hip to the lower back. This region is significant in orthopedics and physical examinations for its use in assessing various medical conditions and performing certain maneuvers during the physical examination.

Drainage, in medical terms, refers to the removal of excess fluid or accumulated collections of fluids from various body parts or spaces. This is typically accomplished through the use of medical devices such as catheters, tubes, or drains. The purpose of drainage can be to prevent the buildup of fluids that may cause discomfort, infection, or other complications, or to treat existing collections of fluid such as abscesses, hematomas, or pleural effusions. Drainage may also be used as a diagnostic tool to analyze the type and composition of the fluid being removed.

An abdominal abscess is a localized collection of pus in the abdominal cavity, caused by an infection. It can occur as a result of complications from surgery, trauma, or inflammatory conditions such as appendicitis or diverticulitis. Symptoms may include abdominal pain, fever, and tenderness at the site of the abscess. Abdominal abscesses can be serious and require medical treatment, which may include antibiotics, drainage of the abscess, or surgery.

Polymyositis is defined as a rare inflammatory disorder that causes muscle weakness and inflammation (swelling) of the muscles. It primarily affects the skeletal muscles, which are the muscles responsible for voluntary movements such as walking, talking, and swallowing. The onset of polymyositis can occur at any age but is most commonly seen in adults between 31 to 60 years old, with women being slightly more affected than men.

The exact cause of polymyositis remains unknown; however, it is believed to be an autoimmune disorder, where the body's immune system mistakenly attacks its own muscle tissue. Certain factors such as genetics, viral infections, and exposure to certain drugs may contribute to the development of this condition.

Polymyositis can cause various symptoms, including:
- Progressive muscle weakness and wasting, particularly affecting the proximal muscles (those closest to the trunk of the body) such as the hips, thighs, shoulders, and upper arms.
- Difficulty climbing stairs, lifting objects, or rising from a seated position.
- Fatigue and stiffness, especially after periods of inactivity.
- Joint pain and swelling.
- Difficulty swallowing or speaking.
- Shortness of breath due to weakened respiratory muscles.

Diagnosis of polymyositis typically involves a combination of medical history, physical examination, laboratory tests, electromyography (EMG), and muscle biopsy. Treatment usually includes medications such as corticosteroids and immunosuppressants to reduce inflammation and control the immune response. Physical therapy may also be recommended to help maintain muscle strength and flexibility.

If left untreated, polymyositis can lead to significant disability and complications, including respiratory failure, malnutrition, and cardiovascular disease. Early diagnosis and treatment are crucial for improving outcomes and preventing long-term complications.

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