6.6. Skin and Soft Tissue Infection - Pyomyositis Flashcards
1
Q
How is Pyomyositis described?
A
Purulent infection deep within Striated Muscle
2
Q
How does Pyomyositis often manifest itself?
A
As an Abscess
3
Q
What is the infection related to?
A
Infection is often secondary to seeding into damaged muscle
4
Q
How often are multiple sites involved?
A
15% of the time
5
Q
What are the common sites of Pyomyositis?
A
- Thigh
- Calf
- Arms
- Gluteal Region
- Chest Wall
- Psoas Muscle
6
Q
What are the predisposing factors of Pyomyositis?
A
- Diabetes Mellitus
- HIV/Immunocompromised
- Intravenous Drug Abuse
- Rheumatological Disease
- Malignancy
- Liver Cirrhosis
7
Q
How does Pyomyositis present?
A
- Pain
- Woody induration of affected muscle
- Fever
Note- if untreated can lead to Septic Shock and Death
8
Q
What is the most common causative organism of Pyomyositis?
A
Staphylococcus Aureus
9
Q
Other than Staphylococcus Aureus, what organisms can cause Pyomyositis?
A
- Other Gram Positives
- Gram Negatives
- Myscobacterium Tuberculosis
- Fungal Infections
10
Q
What investigation is done for Pyomyositis?
A
- CT
- MRI
11
Q
What is the treatment of Pyomyositis?
A
- Drainage
- Antibiotic Cover (depending on Gram Stain and Culture Results)