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    Pyomyositis after vaginal delivery.

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    Authors
    Gaughan, Eve
    Eogan, Maeve
    Holohan, Mary
    Affiliation
    Department of Obstetrics and Gynaecology, Rotunda Hospital, Dublin, Ireland. evegaughan@yahoo.co.uk
    Issue Date
    2011
    MeSH
    Adult
    Delivery, Obstetric
    Female
    Humans
    Puerperal Disorders
    Pyomyositis
    
    Metadata
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    Citation
    Pyomyositis after vaginal delivery. 2011, 2011: BMJ Case Rep
    Journal
    BMJ case reports
    URI
    http://hdl.handle.net/10147/292562
    DOI
    10.1136/bcr.04.2011.4109
    PubMed ID
    22693277
    Abstract
    Pyomyositis is a purulent infection of skeletal muscle that arises from haematogenous spread, usually with abscess formation. It can develop after a transient bacteraemia of any cause. This type of infection has never been reported before in the literature after vaginal delivery. A 34-year-old woman had progressive severe pain in the left buttock and thigh and weakness in the left lower limb day 1 post spontaneous vaginal delivery. MRI showed severe oedema of the left gluteus, iliacus, piriformis and adductor muscles of the left thigh and a small fluid collection at the left hip joint. She was diagnosed with pyomyositis. She had fever of 37.9°C immediately postpartum and her risk factors for bacteraemia were a mild IV cannula-associated cellulitis and labour itself. She required prolonged treatment with antibiotics before significant clinical improvement was noted.
    Item Type
    Article
    Language
    en
    ISSN
    1757-790X
    ae974a485f413a2113503eed53cd6c53
    10.1136/bcr.04.2011.4109
    Scopus Count
    Collections
    Rotunda Hospital

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