6.6. Skin and Soft Tissue Infection - Pyomyositis Flashcards

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1
Q

How is Pyomyositis described?

A

Purulent infection deep within Striated Muscle

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2
Q

How does Pyomyositis often manifest itself?

A

As an Abscess

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3
Q

What is the infection related to?

A

Infection is often secondary to seeding into damaged muscle

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4
Q

How often are multiple sites involved?

A

15% of the time

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5
Q

What are the common sites of Pyomyositis?

A
  1. Thigh
  2. Calf
  3. Arms
  4. Gluteal Region
  5. Chest Wall
  6. Psoas Muscle
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6
Q

What are the predisposing factors of Pyomyositis?

A
  1. Diabetes Mellitus
  2. HIV/Immunocompromised
  3. Intravenous Drug Abuse
  4. Rheumatological Disease
  5. Malignancy
  6. Liver Cirrhosis
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7
Q

How does Pyomyositis present?

A
  1. Pain
  2. Woody induration of affected muscle
  3. Fever
    Note- if untreated can lead to Septic Shock and Death
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8
Q

What is the most common causative organism of Pyomyositis?

A

Staphylococcus Aureus

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9
Q

Other than Staphylococcus Aureus, what organisms can cause Pyomyositis?

A
  1. Other Gram Positives
  2. Gram Negatives
  3. Myscobacterium Tuberculosis
  4. Fungal Infections
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10
Q

What investigation is done for Pyomyositis?

A
  1. CT
  2. MRI
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11
Q

What is the treatment of Pyomyositis?

A
  1. Drainage
  2. Antibiotic Cover (depending on Gram Stain and Culture Results)
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