• Dror Ovadia, Eli Ezra, Liat Ben-Sira, Ada Kessler, Jacob Bickels, David Keret, Moshe Yaniv, Shlomo Wientroub, and Franklin Lokiec.
• Department of Pediatric Orthopaedics, Dana Children's Hospital, Tel Aviv Sourasky Medical Center & Sackler Faculty of Medicine, Tel Aviv University, 6 Weizmann Street, Tel Aviv 64239, Israel. dovadia@tasmc.health.gov.il
• J Pediatr Orthop B. 2007 Mar 1; 16 (2): 153-9.

AbstractThis study was undertaken to review our approach to diagnosis and treatment in a series of 11 patients (mean age 8.2 years) with primary pyomyositis, who had neither an underlying disease nor a compromised immune system. Nine of the children had positive blood cultures, Staphylococcus aureus (eight) and Streptococcus group A (one). The sites of infection were iliopsoas (four), obturator (two), hip adductors (two), levator scapula (one), thoracolumbar paraspinal (one) and gastrocnemius (one) muscles. Antibiotic treatment was initially intravenous, followed by oral administration. Of five patients with evidence of abscess formation, three underwent percutaneous drainage, whereas two required open surgical drainage. The infection resolved completely without any sequela in 10 children. One patient who developed acute compartment syndrome showed late signs of osteonecrosis of the tibial shaft segment.

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