Primary pyomyositis and disseminated septic pulmonary emboli: a reactivated staphylococcal infection?
Staphylococcal pyomyositis is a severe invasive soft tissue infection with high mortality rate that is increasingly being recognized even in temperate climates. In most cases predisposing factors are identified that include either source of skin penetration or/and impaired host immunocompetence. A c...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2014-07-01
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| Series: | Brazilian Journal of Infectious Diseases |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1413867014000671 |
| _version_ | 1818399000183701504 |
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| author | Savvoula Savvidou Emmanouil Kalogiannis Kalliopi Tsakiri Maria Gavra Afroditi Tsona |
| author_facet | Savvoula Savvidou Emmanouil Kalogiannis Kalliopi Tsakiri Maria Gavra Afroditi Tsona |
| author_sort | Savvoula Savvidou |
| collection | DOAJ |
| description | Staphylococcal pyomyositis is a severe invasive soft tissue infection with high mortality rate that is increasingly being recognized even in temperate climates. In most cases predisposing factors are identified that include either source of skin penetration or/and impaired host immunocompetence. A case of primary, community-acquired pyomyositis of the left iliopsoas muscle in a 59-year-old immunecompetent woman, which was complicated with septic pulmonary emboli within 24 h after hospital admission, is presented. The patient was subjected to abscess drainage under computed tomography guidance. Both pus aspiration and blood cultures revealed methicillin-susceptible Staphylococcus aureus. Given the absolute absence of predisposing factors and a remote history of staphylococcal osteomyelitis in the same anatomical region 53 years ago, reactivation of a staphylococcal soft tissue infection was postulated. Systematic review of the literature revealed a few interesting cases of reactivated staphylococcal infection after decades of latency, although the exact pathophysiological mechanisms still need to be elucidated. Keywords: Pyomyositis, Staphylococcus aureus, Septic pulmonary emboli, Reactivation |
| first_indexed | 2024-12-14T07:13:43Z |
| format | Article |
| id | doaj.art-b43354953b3b40f29f249d9dde5d9f0d |
| institution | Directory Open Access Journal |
| issn | 1413-8670 |
| language | English |
| last_indexed | 2024-12-14T07:13:43Z |
| publishDate | 2014-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Infectious Diseases |
| spelling | doaj.art-b43354953b3b40f29f249d9dde5d9f0d2022-12-21T23:11:45ZengElsevierBrazilian Journal of Infectious Diseases1413-86702014-07-01184457461S1413-86702014000400457Primary pyomyositis and disseminated septic pulmonary emboli: a reactivated staphylococcal infection?Savvoula Savvidou0Emmanouil Kalogiannis1Kalliopi Tsakiri2Maria Gavra3Afroditi Tsona41st Department of Internal Medicine, “Papageorgiou” General Hospital of Thessaloniki, Greece; Corresponding author at: Ring Road N. Efkarpia-Thessaloniki, Thessaloniki, Greece.1st Department of Internal Medicine, “Papageorgiou” General Hospital of Thessaloniki, Greece1st Department of Internal Medicine, “Papageorgiou” General Hospital of Thessaloniki, Greece1st Department of Internal Medicine, “Papageorgiou” General Hospital of Thessaloniki, Greece1st Department of Internal Medicine, “Papageorgiou” General Hospital of Thessaloniki, Greece; Department of Infectious Diseases, AHEPA University Hospital of Thessaloniki, GreeceStaphylococcal pyomyositis is a severe invasive soft tissue infection with high mortality rate that is increasingly being recognized even in temperate climates. In most cases predisposing factors are identified that include either source of skin penetration or/and impaired host immunocompetence. A case of primary, community-acquired pyomyositis of the left iliopsoas muscle in a 59-year-old immunecompetent woman, which was complicated with septic pulmonary emboli within 24 h after hospital admission, is presented. The patient was subjected to abscess drainage under computed tomography guidance. Both pus aspiration and blood cultures revealed methicillin-susceptible Staphylococcus aureus. Given the absolute absence of predisposing factors and a remote history of staphylococcal osteomyelitis in the same anatomical region 53 years ago, reactivation of a staphylococcal soft tissue infection was postulated. Systematic review of the literature revealed a few interesting cases of reactivated staphylococcal infection after decades of latency, although the exact pathophysiological mechanisms still need to be elucidated. Keywords: Pyomyositis, Staphylococcus aureus, Septic pulmonary emboli, Reactivationhttp://www.sciencedirect.com/science/article/pii/S1413867014000671 |
| spellingShingle | Savvoula Savvidou Emmanouil Kalogiannis Kalliopi Tsakiri Maria Gavra Afroditi Tsona Primary pyomyositis and disseminated septic pulmonary emboli: a reactivated staphylococcal infection? Brazilian Journal of Infectious Diseases |
| title | Primary pyomyositis and disseminated septic pulmonary emboli: a reactivated staphylococcal infection? |
| title_full | Primary pyomyositis and disseminated septic pulmonary emboli: a reactivated staphylococcal infection? |
| title_fullStr | Primary pyomyositis and disseminated septic pulmonary emboli: a reactivated staphylococcal infection? |
| title_full_unstemmed | Primary pyomyositis and disseminated septic pulmonary emboli: a reactivated staphylococcal infection? |
| title_short | Primary pyomyositis and disseminated septic pulmonary emboli: a reactivated staphylococcal infection? |
| title_sort | primary pyomyositis and disseminated septic pulmonary emboli a reactivated staphylococcal infection |
| url | http://www.sciencedirect.com/science/article/pii/S1413867014000671 |
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