No abstract

Pyomyositis is a bacterial infection of striated muscle. It is a rare and potentially fatal pathology that usually progresses to intramuscular abscess. Its diagnosis can be difficult due to the clinical similarity with more frequent disorders. Magnetic Resonance Imaging (MRI) is the gold standard for an early diagnosis.Most authors recommend percutaneous or surgical drainage followed by antibiotics (ATB), if an abscess is found. There are few cases described in the literature treated with exclusive ATB.We report the case of an adolescent male with pyomyositis, and an abscess of the right internal obturator muscle successfully treated with conservative treatment. We aim to highlight that uncomplicated pyomyositis abscess in children may be managed without the need of percutaneous or surgical drainage.

No abstract