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Iranian Journal of Microbiology، جلد ۱۳، شماره ۲، صفحات ۲۵۲-۲۵۶
عنوان فارسی
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عنوان انگلیسی The piriformis abscess: a case-based review
چکیده انگلیسی مقاله 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 8th 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 (p>0.05). 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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نویسندگان مقاله | Mohammadreza Salehi
Department of Infectious Diseases, Imam Khomeini ‎Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran


| Fereshteh Ghiasvand
Department of Infectious Diseases and Liver Transplantation Research Center, Imam Khomeini ‎Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran


| Mohammad Mehdi Feizabadi
Department of Microbiology, Thoracic Research Center, School of Medicine, Imam Khomeini ‎Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran


| Mohammad Zarei
Joint Reconstruction Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran


| Niloofar Ayoobi Yazdi
Department of Radiology, Advanced Diagnostic and Interventional Radiology Research Center, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran


| Neda Alijani
Department of Infectious Diseases, Shariati‎ Hospital, Tehran University of Medical Sciences, Tehran, Iran


| Mehdi Qaempanah
Department of Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran


| Simin Seyedpour
Department of Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran; Research Center for Immunodeficiencies, Children’s Medical Center Hospital, Tehran University of Medical Sciences, Tehran, Iran
نشانی اینترنتی https://ijm.tums.ac.ir/index.php/ijm/article/view/2783
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