CASE REPORT |
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Year : 2014 | Volume
: 34
| Issue : 2 | Page : 88-90 |
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Pelvic primary pyomyositis complicated by septic pulmonary embolism and shock in a young adult
Sin-Jhang Wang1, Tsu-Te Yeh1, Shun-Cheng Chang2, Chun-Liang Hsu1, Leou-Chyr Lin1, Ru-Yu Pan1
1 Department of Orthopaedic Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China 2 Department of Surgery, Division of Plastic Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China
Correspondence Address:
Prof. Tsu-Te Yeh Department of Orthopaedic Surgery, Tri-Service General Hospital, No. 325, Section 2, Cheng-Gong Road, Taipei 114, Taiwan Republic of China
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1011-4564.131906
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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. |
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