Isolated abscess in superior rectus muscle in a child

Pyomyositis is a primary bacterial infection of striated muscles nearly always caused by Staphylococcus aureus. Development of the intramuscular abscess involving the extra-ocular muscles (EOMs) remains an extremely rare process. We herein present a case of isolated EOM pyomyositis involving superio...

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Main Authors: Sushank Ashok Bhalerao, Kamaljeet Singh, Birendra Yadav, Ravindra Kumar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2015;volume=63;issue=3;spage=284;epage=286;aulast=Bhalerao
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author Sushank Ashok Bhalerao
Kamaljeet Singh
Birendra Yadav
Ravindra Kumar
author_facet Sushank Ashok Bhalerao
Kamaljeet Singh
Birendra Yadav
Ravindra Kumar
author_sort Sushank Ashok Bhalerao
collection DOAJ
description Pyomyositis is a primary bacterial infection of striated muscles nearly always caused by Staphylococcus aureus. Development of the intramuscular abscess involving the extra-ocular muscles (EOMs) remains an extremely rare process. We herein present a case of isolated EOM pyomyositis involving superior rectus muscle in a 2-year male child who was referred with complaints of swelling in left eye (LE) and inability to open LE since last 1-month. Orbital computed tomography (CT) scan showed a well-defined, hypo-dense, peripheral rim-enhancing lesion in relation to left superior rectus muscle suggestive of left superior rectus abscess. The abscess was drained through skin approach. We concluded that pyomyositis of EOM should be considered in any patient presenting with acute onset of orbital inflammation and characteristic CT or magnetic resonance imaging features. Management consists of incision and drainage coupled with antibiotic therapy.
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spelling doaj.art-5516af32720848b9bacc0fbd52064b142022-12-21T19:46:14ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892015-01-0163328428610.4103/0301-4738.156941Isolated abscess in superior rectus muscle in a childSushank Ashok BhaleraoKamaljeet SinghBirendra YadavRavindra KumarPyomyositis is a primary bacterial infection of striated muscles nearly always caused by Staphylococcus aureus. Development of the intramuscular abscess involving the extra-ocular muscles (EOMs) remains an extremely rare process. We herein present a case of isolated EOM pyomyositis involving superior rectus muscle in a 2-year male child who was referred with complaints of swelling in left eye (LE) and inability to open LE since last 1-month. Orbital computed tomography (CT) scan showed a well-defined, hypo-dense, peripheral rim-enhancing lesion in relation to left superior rectus muscle suggestive of left superior rectus abscess. The abscess was drained through skin approach. We concluded that pyomyositis of EOM should be considered in any patient presenting with acute onset of orbital inflammation and characteristic CT or magnetic resonance imaging features. Management consists of incision and drainage coupled with antibiotic therapy.http://www.ijo.in/article.asp?issn=0301-4738;year=2015;volume=63;issue=3;spage=284;epage=286;aulast=BhaleraoIntraocularlymphomaretinavitreous Conjunctivacornealymphomamelanomaocular surfaceocular surface squamous neoplasiatumorBrachytherapychemotherapycryopexyintra ocular tumorsphotocoagulationAnimal uveitis modelcytomegalovirus retinitis animal modelendotoxin-induced uveitisexperimental autoimmune uveitisspontaneoustubercular uveitis animal modelIndiageneticsretinoblastomareviewGlaucomaheavy silicone oillight silicone oilocular hypertensionretinal detachmentstandard silicone oilAdultsblue sclerakeratoglobusmanagementpediatric patientsChoroidhypertensionoptic coherence tomographyChoroidal thicknessenhanced depth imaginghypothyroidismintraocular pressureoptical coherence tomographyA patterndisc foveal angleintorsionsuperior oblique split lengtheningBlind schoolscataractcorneal scarhereditary diseasesocular morbidityprevention of blindnessIntraocular lens dislocationocular traumapseudophacocelesubconjunctival hemorrhageAcrochordonsfibro-epithelial polypsfibromagiant soft fibromaskin tags Ascher′s syndromeblepharochalasisdouble upper lipLaffer-Ascher′s syndromenontoxic goiterEvaluation of Googleinformation on internetmedical informationpatient counselingpatient informationweb contentDeep orbital varixendovascular coil embolizationtransfemoral routeCiliochoroidal effusioncyclodialysistrabeculectomy Cataractgoat′s eyephacoemulsificationtrainingwet labBenson′s syndromefrequent change in glassesposterior cortical atrophy Capsular bag dislocationlaceration of capsular bagscleral tucking of intraocular lensBenign mixed tumorprimary lacrimal sac tumorexternal dacryocystorhinostomyExtra-ocular musclepyomyositisStaphylococcus aureussuperior rectus abscess
spellingShingle Sushank Ashok Bhalerao
Kamaljeet Singh
Birendra Yadav
Ravindra Kumar
Isolated abscess in superior rectus muscle in a child
Indian Journal of Ophthalmology
Intraocular
lymphoma
retina
vitreous
Conjunctiva
cornea
lymphoma
melanoma
ocular surface
ocular surface squamous neoplasia
tumor
Brachytherapy
chemotherapy
cryopexy
intra ocular tumors
photocoagulation
Animal uveitis model
cytomegalovirus retinitis animal model
endotoxin-induced uveitis
experimental autoimmune uveitis
spontaneous
tubercular uveitis animal model
India
genetics
retinoblastoma
review
Glaucoma
heavy silicone oil
light silicone oil
ocular hypertension
retinal detachment
standard silicone oil
Adults
blue sclera
keratoglobus
management
pediatric patients
Choroid
hypertension
optic coherence tomography
Choroidal thickness
enhanced depth imaging
hypothyroidism
intraocular pressure
optical coherence tomography
A pattern
disc foveal angle
intorsion
superior oblique split lengthening
Blind schools
cataract
corneal scar
hereditary diseases
ocular morbidity
prevention of blindness
Intraocular lens dislocation
ocular trauma
pseudophacocele
subconjunctival hemorrhage
Acrochordons
fibro-epithelial polyps
fibroma
giant soft fibroma
skin tags
Ascher′s syndrome
blepharochalasis
double upper lip
Laffer-Ascher′s syndrome
nontoxic goiter
Evaluation of Google
information on internet
medical information
patient counseling
patient information
web content
Deep orbital varix
endovascular coil embolization
transfemoral route
Ciliochoroidal effusion
cyclodialysis
trabeculectomy
Cataract
goat′s eye
phacoemulsification
training
wet lab
Benson′s syndrome
frequent change in glasses
posterior cortical atrophy
Capsular bag dislocation
laceration of capsular bag
scleral tucking of intraocular lens
Benign mixed tumor
primary lacrimal sac tumor
external dacryocystorhinostomy
Extra-ocular muscle
pyomyositis
Staphylococcus aureus
superior rectus abscess
title Isolated abscess in superior rectus muscle in a child
title_full Isolated abscess in superior rectus muscle in a child
title_fullStr Isolated abscess in superior rectus muscle in a child
title_full_unstemmed Isolated abscess in superior rectus muscle in a child
title_short Isolated abscess in superior rectus muscle in a child
title_sort isolated abscess in superior rectus muscle in a child
topic Intraocular
lymphoma
retina
vitreous
Conjunctiva
cornea
lymphoma
melanoma
ocular surface
ocular surface squamous neoplasia
tumor
Brachytherapy
chemotherapy
cryopexy
intra ocular tumors
photocoagulation
Animal uveitis model
cytomegalovirus retinitis animal model
endotoxin-induced uveitis
experimental autoimmune uveitis
spontaneous
tubercular uveitis animal model
India
genetics
retinoblastoma
review
Glaucoma
heavy silicone oil
light silicone oil
ocular hypertension
retinal detachment
standard silicone oil
Adults
blue sclera
keratoglobus
management
pediatric patients
Choroid
hypertension
optic coherence tomography
Choroidal thickness
enhanced depth imaging
hypothyroidism
intraocular pressure
optical coherence tomography
A pattern
disc foveal angle
intorsion
superior oblique split lengthening
Blind schools
cataract
corneal scar
hereditary diseases
ocular morbidity
prevention of blindness
Intraocular lens dislocation
ocular trauma
pseudophacocele
subconjunctival hemorrhage
Acrochordons
fibro-epithelial polyps
fibroma
giant soft fibroma
skin tags
Ascher′s syndrome
blepharochalasis
double upper lip
Laffer-Ascher′s syndrome
nontoxic goiter
Evaluation of Google
information on internet
medical information
patient counseling
patient information
web content
Deep orbital varix
endovascular coil embolization
transfemoral route
Ciliochoroidal effusion
cyclodialysis
trabeculectomy
Cataract
goat′s eye
phacoemulsification
training
wet lab
Benson′s syndrome
frequent change in glasses
posterior cortical atrophy
Capsular bag dislocation
laceration of capsular bag
scleral tucking of intraocular lens
Benign mixed tumor
primary lacrimal sac tumor
external dacryocystorhinostomy
Extra-ocular muscle
pyomyositis
Staphylococcus aureus
superior rectus abscess
url http://www.ijo.in/article.asp?issn=0301-4738;year=2015;volume=63;issue=3;spage=284;epage=286;aulast=Bhalerao
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