Myositis

Question 1

Myosisits overview

Answer 1

considered in tropical disease
persent in temperate climates
evergence of HIV infection

infectios myosisits’

acute , subacute or chronic infection
viral involvement
influenza coxasikie virus b and dengue

parasitic invasion
trichinellisos , cytilcerosis or toxoplasmosis

pyomyositis
bacterial infection
s aureus

pleuodynia
definition of pain due to infection
coxsaskie virus b

Question 2

signs and symptoms myositis

Answer 2

myalgia
abscess formation
myositis

pleurodynia:
hallmark severe muscle pain , chest or abd pain
fever
malaise
headaches

complications
acute rhabdomyolysis
clostridial spp or streptococcal myotisis
influenza virus echovirus coxsackie virus EBV and legionella

toxic shock syndrome
s aureus
the organism produces toxic shock syndrome toxin1

Question 3

myositis diagnosis

Answer 3

Imagining :
soft tissue CT and MRI
determine the depth of infection
identify access

invasive procedures
abscess drainage
aspiration of leading edge
punch bx with frozen section

Laboratory:
culture and gs
viral culture
PCR
serologic evaluation of viral antibiodies

Question 4

treatment of viral myosititis

Answer 4

Supportive care:
bedrest
IVF
antipyretics
analgesics
antiviral agents ( amedione )

Pyomyositis: staph aureus
antibiotics
cefazolin plus vancomycin
clindamycin

interventional and surgical options
- CT or US-guided perc drain
surgical intervention
extensive muscle involvement or necrosis