Acosta RCQ, Santos HJE, Contreras CTIF, Luévanos VA

Language: Spanish
References: 10
Page: 109-112
PDF size: 574.83 Kb.

ABSTRACT

Acute pyomyositis is an infection that affects the striated muscle and accompanied usually by abscesses with a high risk of hematogenous spread. Staphylococcus aureus is the main agent involved in up to 90% of cases, with an increase in methicillin-resistant strains. Pyomyositis is a condition difficult to diagnose, taking place on average 14 days after the onset of symptoms, which leads to a delay in treatment and an increase in morbidity and mortality. We present the case of a 12-year-old adolescent with a history of right thigh trauma who developed multiple collections: pulmonary, lumbar spine, kidney, liver and pyomyositis in the right thigh. He received empirical ceftriaxone/clindamycin, in cultures were obtained MRSA with a vancomycin MIC ›16, and then patient received linezolid/rifampin for eight weeks.

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