Ozkan Korhan, Unay Koray, Ugutmen Ender, Eren Abdullah, Eceviz Engin, Saygý Baransel
Goztepe Research and Training Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey.
J Med Case Rep. 2008 Jul 24;2:236. doi: 10.1186/1752-1947-2-236.
Pyomyositis is a disease in which an abscess is formed deep within large striated muscles.
We report the case of a 10-year-old boy who presented with fever and a painful hip and was subsequently diagnosed with pyomyositis of the tensor fascia lata. In children with clinical and laboratory findings of inflammation in the vicinity of the hip joint, the differential diagnosis includes transient synovitis, an early stage of Legg-Calvé-Perthes disease, infectious arthritis of the hip, rheumatologic diseases and extracapsular infection such as osteomyelitis.
To the best of the authors' knowledge, this is the first report of pyomyositis of the tensor fascia lata. Although pyomyositis is a rare disease and the differential diagnosis includes a variety of other commonly observed diseases, pyomyositis should be considered in cases where children present with fever, leukocytosis and localized pain.
