Article in Japanese

A pediatric case of pyomyositis of bilateral adductor and obturator muscles associated with osteomyelitis of bilateral pubes and ischia treated by conservative management

Yoji UEJIMA^1,2), Rie MATSUBAYASHI¹⁾, Tadashi MATSUBAYASHI¹⁾

A previously healthy eight-year-old boy was referred to our hospital presenting with pain in both thighs. Pyomyositis of the bilateral adductor and obturator muscles, and osteomyelitis of the bilateral pubes and ischia were diagnosed by magnetic resonance imaging (MRI) scan. A blood culture grew methicillin-susceptible Staphylococcus aureus. A subsequent MRI scan showed abscess formation in the bilateral adductor muscles, but the patient was cured by conservative treatment only. The MRI scan was useful for early diagnosis and sequential evaluation of the lesions.

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1) Department of Pediatrics, Seirei Hamamatsu General Hospital
2) Division of Infectious Disease, Immunology, and Allergy, Saitama Children's Medical Center

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Received	October 31, 2012
Accepted	April 30, 2013

25 (2)：169─173,2013