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CASE REPORT
Year : 2014  |  Volume : 34  |  Issue : 2  |  Page : 88-90

Pelvic primary pyomyositis complicated by septic pulmonary embolism and shock in a young adult


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
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Source of Support: None, Conflict of Interest: None


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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