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Titolo:
Obturator internus muscle abscess in children
Autore:
Orlicek, SL; Abramson, JS; Woods, CR; Givner, LB;
Indirizzi:
Wake Forest Univ, Sch Med, Dept Pediat Infect Dis, Winston Salem, NC 27109USA Wake Forest Univ Winston Salem NC USA 27109 s, Winston Salem, NC 27109USA
Titolo Testata:
JOURNAL OF PEDIATRIC ORTHOPAEDICS
fascicolo: 6, volume: 21, anno: 2001,
pagine: 744 - 748
SICI:
0271-6798(200111/12)21:6<744:OIMAIC>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
PYOMYOSITIS;
Keywords:
children; obturator internus muscle; pyomyositis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Orlicek, SL Amarillo Childrens Clin, 3501 Soncy,Suite 160, Amarillo, TX 79119 USA Amarillo Childrens Clin 3501 Soncy,Suite 160 Amarillo TX USA 79119
Citazione:
S.L. Orlicek et al., "Obturator internus muscle abscess in children", J PED ORTH, 21(6), 2001, pp. 744-748

Abstract

The authors describe four cases of obturator internus muscle (OIM) abscessin children, including their clinical presentations and treatment. This was a retrospective chart review. Children and adolescents younger than 18 years discharged between July 1, 1985, and September 30, 1998, from Brenner Children's Hospital with the diagnosis of muscle abscess or pelvic abscess were identified. A total of 56 patients were identified with the diagnosis of muscle abscess or pelvic abscess. OLM abscess was defined by radiologic findings of an inflammatory process with fluid collection in the OIM, along with the clinical findings suggestive of an OIM abscess. Four of the patients met the definition of OIM muscle abscess. The common presenting featureswere fever, limp, and hip pain. Computed tomography or magnetic resonance imaging was diagnostic in all four patients, and Staphylococcus aureus was the causative a.-ent in each. All the patients recovered, one after surgical drainage and the other three after antimicrobial therapy alone or with needle aspiration. The presentation of OIM pyomyositis is similar to that of psoas muscle pyomyositis and other infectious processes of the pelvis and hip. The S. aureus is the most common etiologic agent but not the only one reported. Most patients can be managed without open surgical drainage, but needle aspirations may be helpful both therapeutically and diagnostically.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/11/20 alle ore 04:33:57