Acute pyomyositis of the adductor magnus muscle involving the posterior and lateral thigh compartments: a case report of diagnosis and management

Bacterial infection of skeletal muscle can lead to the formation of abscesses. Primary pyomyositis is typically seen in tropical countries, and Staphylococcus aureus is the commonest causative organism. We present a case of acute adductor magnus muscle abscess (pyomyositis) with spread to adjacent t...

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Main Authors: Rajesh Bawale, Jay Watson, Karshe Yusuf, Dilip Pillai, Bijayendra Singh
Format: Article
Language:English
Published: Korean Society of Traumatology 2022-06-01
Series:Journal of Trauma and Injury
Subjects:
Online Access:http://jtraumainj.org/upload/pdf/jti-2021-0022.pdf
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author Rajesh Bawale
Jay Watson
Karshe Yusuf
Dilip Pillai
Bijayendra Singh
author_facet Rajesh Bawale
Jay Watson
Karshe Yusuf
Dilip Pillai
Bijayendra Singh
author_sort Rajesh Bawale
collection DOAJ
description Bacterial infection of skeletal muscle can lead to the formation of abscesses. Primary pyomyositis is typically seen in tropical countries, and Staphylococcus aureus is the commonest causative organism. We present a case of acute adductor magnus muscle abscess (pyomyositis) with spread to adjacent thigh compartments via the perforators without iliopsoas muscle involvement. Due to the involvement of the entire thigh compartment, systemic antibiotic treatment alone was insufficient, whereas surgical drainage improved the clinical picture. The aetiological organism was S. aureus. Herein, we report the case of a patient who had primary pyomyositis, rather than a secondary type, that spread to the posterior and lateral aspect of the thigh through the second and third perforators, which pierce the adductor magnus muscle belly before entering the femur.
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publisher Korean Society of Traumatology
record_format Article
series Journal of Trauma and Injury
spelling doaj-art-a712b9f980b048c4b54de5aa2c5ed6ea2025-01-16T04:51:11ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832022-06-0135213914310.20408/jti.2021.00221121Acute pyomyositis of the adductor magnus muscle involving the posterior and lateral thigh compartments: a case report of diagnosis and managementRajesh Bawale0Jay Watson1Karshe Yusuf2Dilip Pillai3Bijayendra Singh4 Department of Trauma and Orthopaedics, Medway Maritime Hospital, Windmill Road, UK Department of Trauma and Orthopaedics, Medway Maritime Hospital, Windmill Road, UK Department of Trauma and Orthopaedics, Medway Maritime Hospital, Windmill Road, UK Department of Trauma and Orthopaedics, Medway Maritime Hospital, Windmill Road, UK Department of Trauma and Orthopaedics, Medway Maritime Hospital, Windmill Road, UKBacterial infection of skeletal muscle can lead to the formation of abscesses. Primary pyomyositis is typically seen in tropical countries, and Staphylococcus aureus is the commonest causative organism. We present a case of acute adductor magnus muscle abscess (pyomyositis) with spread to adjacent thigh compartments via the perforators without iliopsoas muscle involvement. Due to the involvement of the entire thigh compartment, systemic antibiotic treatment alone was insufficient, whereas surgical drainage improved the clinical picture. The aetiological organism was S. aureus. Herein, we report the case of a patient who had primary pyomyositis, rather than a secondary type, that spread to the posterior and lateral aspect of the thigh through the second and third perforators, which pierce the adductor magnus muscle belly before entering the femur.http://jtraumainj.org/upload/pdf/jti-2021-0022.pdfpyomyositisabscessdebridementwashoutcase report
spellingShingle Rajesh Bawale
Jay Watson
Karshe Yusuf
Dilip Pillai
Bijayendra Singh
Acute pyomyositis of the adductor magnus muscle involving the posterior and lateral thigh compartments: a case report of diagnosis and management
Journal of Trauma and Injury
pyomyositis
abscess
debridement
washout
case report
title Acute pyomyositis of the adductor magnus muscle involving the posterior and lateral thigh compartments: a case report of diagnosis and management
title_full Acute pyomyositis of the adductor magnus muscle involving the posterior and lateral thigh compartments: a case report of diagnosis and management
title_fullStr Acute pyomyositis of the adductor magnus muscle involving the posterior and lateral thigh compartments: a case report of diagnosis and management
title_full_unstemmed Acute pyomyositis of the adductor magnus muscle involving the posterior and lateral thigh compartments: a case report of diagnosis and management
title_short Acute pyomyositis of the adductor magnus muscle involving the posterior and lateral thigh compartments: a case report of diagnosis and management
title_sort acute pyomyositis of the adductor magnus muscle involving the posterior and lateral thigh compartments a case report of diagnosis and management
topic pyomyositis
abscess
debridement
washout
case report
url http://jtraumainj.org/upload/pdf/jti-2021-0022.pdf
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