Pyomyositis in children: early diagnosis and treatment
Φόρτωση...
Ημερομηνία
Συγγραφείς
Mitsionis, G. I.
Manoudis, G. N.
Lykissas, M. G.
Sionti, I.
Motsis, E.
Georgoulis, A. D.
Berisa, A. E.
Τίτλος Εφημερίδας
Περιοδικό ISSN
Τίτλος τόμου
Εκδότης
Περίληψη
Τύπος
Είδος δημοσίευσης σε συνέδριο
Είδος περιοδικού
peer-reviewed
Είδος εκπαιδευτικού υλικού
Όνομα συνεδρίου
Όνομα περιοδικού
J Pediatr Surg
Όνομα βιβλίου
Σειρά βιβλίου
Έκδοση βιβλίου
Συμπληρωματικός/δευτερεύων τίτλος
Περιγραφή
PURPOSE: This study was conducted to evaluate early diagnosis, clinical course, and treatment outcome in children with pyomyositis. METHODS: Between 2001 and 2006, 6 children with a mean age of 7.2 years were diagnosed and treated for pyomyositis in our clinic. The most common site of involvement was the hip and thigh region. All patients underwent early magnetic resonance imaging (MRI) examination that played a significant role in the early diagnosis and management of the disease. RESULTS: Staphylococcus aureus was the most common pathogen and was identified in 3 cases. Intravenous antibiotics were administered and were followed by oral agents for an additional period. The duration of therapy ranged from 3 to 6 weeks. No surgical intervention was needed. Magnetic resonance imaging was used to evaluate response to the therapy. CONCLUSIONS: Although pyomyositis is a rare disease, it should be considered in the differential diagnosis of immediate onset of musculoskeletal pain in children. Early diagnosis and antibiotic treatment are important as major complications such as abscess formation and sepsis can be avoided. Having a high sensitivity to reactive inflammatory changes, MRI is a valuable tool in the armamentarium of the clinician in early diagnosis of pyomyositis.
Περιγραφή
Λέξεις-κλειδιά
Adolescent, Age Factors, Anti-Bacterial Agents/*therapeutic use, Cefuroxime/therapeutic use, Child, Child, Preschool, Combined Modality Therapy, Dicloxacillin/therapeutic use, Drainage/methods, Early Diagnosis, Female, Humans, Magnetic Resonance Imaging, Male, Muscle, Skeletal/pathology, Pyomyositis/*diagnosis/drug therapy/*therapy, Staphylococcal Infections/diagnosis/drug therapy/therapy, Staphylococcus aureus/isolation & purification, Treatment Outcome, Vancomycin/therapeutic use
Θεματική κατηγορία
Παραπομπή
Σύνδεσμος
http://www.ncbi.nlm.nih.gov/pubmed/19944229
http://ac.els-cdn.com/S0022346809002322/1-s2.0-S0022346809002322-main.pdf?_tid=eb5c0086582b504f41d95696906d8d71&acdnat=1333635550_eb64fe13d5de5b94a7dcf7d4bd95d187
http://ac.els-cdn.com/S0022346809002322/1-s2.0-S0022346809002322-main.pdf?_tid=eb5c0086582b504f41d95696906d8d71&acdnat=1333635550_eb64fe13d5de5b94a7dcf7d4bd95d187
Γλώσσα
en
Εκδίδον τμήμα/τομέας
Όνομα επιβλέποντος
Εξεταστική επιτροπή
Γενική Περιγραφή / Σχόλια
Ίδρυμα και Σχολή/Τμήμα του υποβάλλοντος
Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής