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Pediatría Atención Primaria

Print version ISSN 1139-7632


MON TROTTI, Victoria et al. Obturator pyomyositis in a child in association with group A streptococcal pharyngitis. Rev Pediatr Aten Primaria [online]. 2016, vol.18, n.70, pp.165-170. ISSN 1139-7632.

We present the case of an eight-year-old child who developed a pyomyositis of the internal and external obturator muscles and streptococcal tonsillitis simultaneously. Initially he only presented pain in the lower left limb and he was diagnosed a contracture of the biceps femoris muscle. A few days after, he began with odynophagia, cutaneous exanthema and fever with tonsillar exudate. However, the pain in the left leg persisted, lower lumbar pain and a positive straight leg raise appeared, so we underwent a magnetic resonance imaging demonstrating the pyomyositis. We revised the recent described cases of pyomyositis, and we observed an increase of their incidence in our environment. A comparison is made with other case reviews to identify the clinic symptoms that could help in diagnosing the condition early.

Keywords : Pyomyositis; Pharyngitis; Streptococcus pyogenes.

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