CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(02): 214-218
DOI: 10.1016/j.rboe.2017.09.005
Case Report | Relato de Caso
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

Piriformis Pyomyositis in a Patient with Kikuchi-Fujimoto Disease – A Case Report and Literature Review[*]

Article in several languages: português | English
Antônio Augusto Guimarães Barros
1  Hospital Madre Teresa, Belo Horizonte, MG, Brazil
,
Cláudio Beling Gonçalves Soares
1  Hospital Madre Teresa, Belo Horizonte, MG, Brazil
,
Eduardo Frois Temponi
1  Hospital Madre Teresa, Belo Horizonte, MG, Brazil
,
Victor Atsushi Kasuya Barbosa
1  Hospital Madre Teresa, Belo Horizonte, MG, Brazil
,
Luiz Eduardo Moreira Teixeira
1  Hospital Madre Teresa, Belo Horizonte, MG, Brazil
,
George Grammatopoulos
2  The Ottawa Hospital, Ottawa, Canadá
› Author Affiliations
Further Information

Publication History

13 August 2017

13 September 2017

Publication Date:
15 April 2019 (online)

Abstract

Primary pyomyositis is a deep bacterial infection of the skeletal muscle. If left undiagnosed and untreated, the infection spreads, leading to sepsis, septic shock, and even death. The authors report a 23-year-old female presenting with piriformis pyomyositis during a treatment for Kikuchi–Fujimoto disease. Pyomyositis is a rare but potentially severe infection, which can lead to septic shock. The present case shows the need for a high degree of clinical suspicion for patients with compromised immune systems to begin treatment at an early stage. The literature demonstrates that outcomes of the treatment of piriformis pyomyositis are good.

* Work performed in the Hospital Madre Teresa, Belo Horizonte, MG, Brazil in association with The Ottawa Hospital, Ottawa, Canada.