The piriformis abscess: a case-based review

Mohammadreza Salehi; Fereshteh Ghiasvand; Mohammad Mehdi FeizabadiMohammad ZareiNiloofar Ayoobi YazdiNeda AlijaniMehdi QaempanahSimin Seyedpour

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The piriformis abscess: a case-based review

机译：The piriformis abscess: a case-based review

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This study reports a 43 years-old man diagnosed with piriformis pyomyositis. A literature review was conducted by searching MEDLINE via Pubmed for English language case reports, published from 8 th December 2019 to 20th January 2020. Patients' symptoms, laboratory tests, imaging, treatment, and other comorbidities were evaluated. Thirty-two cases diagnosed with piriformis pyomyositis, of which 21 patients developed piriformis abscess (including one new patient added by us) of which 52.4% were female, and the mean age was 26.98 ± 17.5. The most common manifestations were fever, lower back pain, and limited ambulation with increased ESR, CRP, or leukocytosis. Staphylococcus aureus was the most prevalent (57.14%) pathogen isolated. The authors suggested gynecologic manipulations, muscle overuse, and other co-infections as probable risk factors. However, we fail to find any association between these factors and abscess formation (p0.05). Piriformis abscess should be regarded as a probable diagnosis in patients with gluteal pain, fever, and limited ambulation that have raised inflammatory markers or leukocytosis. MRI and CT scans are beneficial in diagnosing pyomyositis in early-stage. Full recovery is expected with timely antibiotic and surgical treatments.

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《Iranian Journal of Microbiology》 |2021年第2期|252-256|共5页
作者
Mohammadreza Salehi; Fereshteh Ghiasvand; Mohammad Mehdi FeizabadiMohammad ZareiNiloofar Ayoobi YazdiNeda AlijaniMehdi QaempanahSimin Seyedpour;
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作者单位

Department of Infectious Diseases, Imam Khomeini ‎Hospital Complex, Tehran University of Medical Sciences;

Department of Infectious Diseases and Liver Transplantation Research Center, Imam Khomeini ‎Hospital Complex, Tehran University of Medical Sciences;

Department of Microbiology, Thoracic Research Center, School of Medicine, Imam Khomeini ‎Hospital Complex, Tehran University of Medical SciencesJoint Reconstruction Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical SciencesDepartment of Radiology, Advanced Diagnostic and Interventional Radiology Research Center, School of Medicine, Tehran University of Medical SciencesDepartment of Infectious Diseases, Shariati‎ Hospital, Tehran University of Medical SciencesDepartment of Medicine, School of Medicine, Tehran University of Medical SciencesResearch Center for Immunodeficiencies, Children’s Medical Center Hospital, Tehran University of Medical Sciences;

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正文语种英语
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Bacterial infection; Abscess; Staphylococcal infections; Piriformis muscle syndrome; Pelvic pain;

The piriformis abscess: a case-based review

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