International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
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Pyomyositis is a term used to denote primary pyogenic infection of the skeletal muscle. Striped muscle tissue is normally resistant to bacterial infection; pyomyositis is very rare. Primary pyomyositis is a purulent infection of striated muscle that is thought to be caused by seeding from a transient bacteremia. ⋯ The diagnosis can be aided by either a computed tomography or magnetic resonance imaging scan. If the patient does not respond quickly to antibiotics and surgical intervention, there is either a recurrence of the previously debrided abscess or an unrecognized secondary abscess. Here, we present a case of primary pyomyositis of the iliacus muscle that might be due to severe pneumonia in a five-year-old child.
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Int. J. Infect. Dis. · May 2009
Review Case ReportsSternoclavicular septic arthritis in a previously healthy patient: a case report and review of the literature.
Sternoclavicular septic arthritis is an unusual event in healthy patients. Cases have been reported in diabetes mellitus patients, intravenous drug abusers and patients affected by rheumatoid arthritis. We report a case of this unique infection that occurred in a patient who was not at risk of septic arthritis. Through this case and a review of the literature, we discuss the difficulty of diagnosing this disorder, and the consequences of delayed treatment in terms of life-threatening outcomes and therapeutic options.
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Int. J. Infect. Dis. · Mar 2009
Pulmonary resection combined with isoniazid- and rifampin-based drug therapy for patients with multidrug-resistant and extensively drug-resistant tuberculosis.
To evaluate the clinical efficacy of pulmonary resection and postoperative use of a first-line drug regimen for patients with well-localized, cavitary pulmonary multidrug-resistant tuberculosis (MDR-TB) and extensively drug-resistant tuberculosis (XDR-TB). ⋯ Resectional lung surgery combined with isoniazid- and rifampin-based anti-tuberculous chemotherapy can be an effective treatment strategy for patients with well-localized, cavitary pulmonary MDR-TB and XDR-TB.