Open AccessPelvic primary pyomyositis complicated by septic pulmonary embolism and shock in a young adult
Author(s) -
Sin-Jhang Wang,
Tsu-Te Yeh,
Stephen S. Chang,
Chun-Liang Hsu,
Leou-Chyr Lin,
Ru-Yu Pan
Publication year - 2014
Publication title -
yīxué yánjiū zázhì/journal of medical sciences
Language(s) - English
Resource type - Journals
eISSN - 2542-4939
pISSN - 1011-4564
DOI - 10.4103/1011-4564.131906
Subject(s) - pyomyositis , medicine , septic shock , pulmonary embolism , shock (circulatory) , resuscitation , surgery , computed tomography , antibiotics , radiology , sepsis , abscess , biology , microbiology and biotechnology
Pyomyositis is an acute infection of skeletal muscles. It can be life-threatening if diagnosis and treatment are delayed. We present a case of a 23-year-old male delayed diagnosis of pyomyositis of the iliacus muscle and gluteal minimus muscle complicated with pulmonary septic embolism and septic shock who was treated with early goal directed cardiovascular resuscitation and surgical exploration combined with parenteral antibiotics. Computed tomography is useful in making the diagnosis. Early diagnosis and treatment may avoid surgery and reduce mortality