Acute Pyomyositis: Diagnosis and Treatment of 5 Cases along with Clinical Outcome

Dr. Omprakash Kumar, Dr. Sunny Kumar, Dr. Abhimanyu Kumar

Abstract: Background: pyomyositis is a bacterial infective condition with primary involvement of the skeletal muscles associated with abscess formation. Methods: This study was conducted on the patients admitted between 2022-2023 at NMCH Patna. Result: The mean age of the patients was 11.2 years (range 5-20 years). Among 5 patients, 4 patients were male and one patient was female. Gluteal region and thigh were the region most commonly involved (4 out of 5) f/b iliopsoas (1 out of 5). Aggressive management combining appropriate antibiotics along with surgical debridement and drainage of pus is recommended. Notwithstanding the advances in diagnosis and treatment, mortality due to the disease varies from 0.5% to 2%. [16, 17] However, no patient in the present series succumbed to the disease and all of them had excellent recovery. Conclusion: pyomyositis associated with abscess formation is a rare and very dangerous condition in children. The clinical presentation can mimic symptoms of other pathologies like osteomyelitis or septic arthritis, so many times it is hard to identify. The therapy involves the antibiotics and if possible abscess drainage.

Keywords: pyomyositis, staphylococcus aureus, abscess formation, surgical debridement and drainage, clinical outcome