Point of Care Ultrasound (POCUS) in Bedside Diagnosis of Pyomyositis
A 43 year old man with a history of IV drug use, and presenting with three days of painful and swollen left calf, was referred to exclude deep vein thrombosis (DVT). Ultrasound showed no evidence of DVT. An area of localised warm, erythematous, which was disproportionately tender, prompted a point...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
CINQUILL Medical Publishers Inc.
2022-04-01
|
| Series: | POCUS Journal |
| Subjects: | |
| Online Access: | https://ojs.library.queensu.ca/index.php/pocus/article/view/15288 |
| _version_ | 1828148875030953984 |
|---|---|
| author | Olusegun Oduyoye Euan Thomas |
| author_facet | Olusegun Oduyoye Euan Thomas |
| author_sort | Olusegun Oduyoye |
| collection | DOAJ |
| description |
A 43 year old man with a history of IV drug use, and presenting with three days of painful and swollen left calf, was referred to exclude deep vein thrombosis (DVT). Ultrasound showed no evidence of DVT. An area of localised warm, erythematous, which was disproportionately tender, prompted a point of care ultrasound (POCUS) assessment. POCUS confirmed a hypoechoic area in the underlying tissue, likely representing a collection because of no recent trauma. It led to prompt antibiotic therapy for the treatment of his pyomyositis. The patient surgical team reviewed the patient and recommended a conservative approach with a satisfactory clinical outcome that led to a safe discharge. Overall, this case demonstrates the versatility of POCUS as an efficient diagnostic tool in the acute setting, and it also helped to differentiate cellulitis from pyomyositis.
|
| first_indexed | 2024-04-11T21:21:57Z |
| format | Article |
| id | doaj.art-22de9c3cd10a4e63806811d857de01e9 |
| institution | Directory Open Access Journal |
| issn | 2369-8543 |
| language | English |
| last_indexed | 2024-04-11T21:21:57Z |
| publishDate | 2022-04-01 |
| publisher | CINQUILL Medical Publishers Inc. |
| record_format | Article |
| series | POCUS Journal |
| spelling | doaj.art-22de9c3cd10a4e63806811d857de01e92022-12-22T04:02:34ZengCINQUILL Medical Publishers Inc.POCUS Journal2369-85432022-04-017110.24908/pocus.v7i1.15288Point of Care Ultrasound (POCUS) in Bedside Diagnosis of PyomyositisOlusegun Oduyoye0Euan Thomas1Aberdeen Royal Infirmary, AberdeenAberdeen Royal Infirmary, Aberdeen, AB25 2ZN A 43 year old man with a history of IV drug use, and presenting with three days of painful and swollen left calf, was referred to exclude deep vein thrombosis (DVT). Ultrasound showed no evidence of DVT. An area of localised warm, erythematous, which was disproportionately tender, prompted a point of care ultrasound (POCUS) assessment. POCUS confirmed a hypoechoic area in the underlying tissue, likely representing a collection because of no recent trauma. It led to prompt antibiotic therapy for the treatment of his pyomyositis. The patient surgical team reviewed the patient and recommended a conservative approach with a satisfactory clinical outcome that led to a safe discharge. Overall, this case demonstrates the versatility of POCUS as an efficient diagnostic tool in the acute setting, and it also helped to differentiate cellulitis from pyomyositis. https://ojs.library.queensu.ca/index.php/pocus/article/view/15288Point of Care Ultrasound(POCUS)Deep Vein Thrombosis(DVT)PyomyositisAbscessCollectionWells score |
| spellingShingle | Olusegun Oduyoye Euan Thomas Point of Care Ultrasound (POCUS) in Bedside Diagnosis of Pyomyositis POCUS Journal Point of Care Ultrasound(POCUS) Deep Vein Thrombosis(DVT) Pyomyositis Abscess Collection Wells score |
| title | Point of Care Ultrasound (POCUS) in Bedside Diagnosis of Pyomyositis |
| title_full | Point of Care Ultrasound (POCUS) in Bedside Diagnosis of Pyomyositis |
| title_fullStr | Point of Care Ultrasound (POCUS) in Bedside Diagnosis of Pyomyositis |
| title_full_unstemmed | Point of Care Ultrasound (POCUS) in Bedside Diagnosis of Pyomyositis |
| title_short | Point of Care Ultrasound (POCUS) in Bedside Diagnosis of Pyomyositis |
| title_sort | point of care ultrasound pocus in bedside diagnosis of pyomyositis |
| topic | Point of Care Ultrasound(POCUS) Deep Vein Thrombosis(DVT) Pyomyositis Abscess Collection Wells score |
| url | https://ojs.library.queensu.ca/index.php/pocus/article/view/15288 |
| work_keys_str_mv | AT olusegunoduyoye pointofcareultrasoundpocusinbedsidediagnosisofpyomyositis AT euanthomas pointofcareultrasoundpocusinbedsidediagnosisofpyomyositis |