<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1139-7632</journal-id>
<journal-title><![CDATA[Pediatría Atención Primaria]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pediatr Aten Primaria]]></abbrev-journal-title>
<issn>1139-7632</issn>
<publisher>
<publisher-name><![CDATA[Asociación Española de Pediatría de Atención Primaria]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1139-76322016000200012</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Piomiositis del obturador en un niño coincidiendo con faringoamigdalitis estreptocócica]]></article-title>
<article-title xml:lang="en"><![CDATA[Obturator pyomyositis in a child in association with group A streptococcal pharyngitis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mon Trotti]]></surname>
<given-names><![CDATA[Victoria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Pina]]></surname>
<given-names><![CDATA[Concepción]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galán del Río]]></surname>
<given-names><![CDATA[Pilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zafra Anta]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Allodi de la Hoz]]></surname>
<given-names><![CDATA[Sonia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hinojosa Mateo]]></surname>
<given-names><![CDATA[Carmen María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro de Salud Griñón  ]]></institution>
<addr-line><![CDATA[Griñón Madrid]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro de Salud San Andrés  ]]></institution>
<addr-line><![CDATA[Madrid Madrid]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario de Fuenlabrada Servicio de Pediatría ]]></institution>
<addr-line><![CDATA[Fuenlabrada Madrid]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Universitario de Fuenlabrada Servicio de Pediatría ]]></institution>
<addr-line><![CDATA[Fuenlabrada Madrid]]></addr-line>
<country>España</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Universitario de Fuenlabrada Servicio de Pediatría ]]></institution>
<addr-line><![CDATA[Fuenlabrada Madrid]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2016</year>
</pub-date>
<volume>18</volume>
<numero>70</numero>
<fpage>165</fpage>
<lpage>170</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1139-76322016000200012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1139-76322016000200012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1139-76322016000200012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Se presenta el caso de un niño de ocho años que desarrolla una piomiositis de los músculos obturador interno y externo, coincidiendo con una faringoamigdalitis estreptocócica. Inicialmente presenta solo dolor en miembro inferior izquierdo, siendo diagnosticado de contractura del bíceps femoral. Pocos días más tarde comienza con odinofagia, exantema cutáneo escarlatiniforme, fiebre y exudado amigdalar. Llama la atención la persistencia de dolor intenso en la pierna izquierda, dolor lumbar bajo y signo de Lassègue positivo, por lo que se realiza una resonancia magnética en la que se observa la piomiositis. Se realiza una revisión de los casos de piomiositis descritos recientemente, observándose un aumento de la incidencia en nuestro entorno. Se compara la clínica con dichos casos para intentar identificar signos clínicos que puedan ayudar a un diagnóstico precoz del proceso.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract 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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Piomiositis]]></kwd>
<kwd lng="es"><![CDATA[Faringitis]]></kwd>
<kwd lng="es"><![CDATA[Streptococcus pyogenes]]></kwd>
<kwd lng="en"><![CDATA[Pyomyositis]]></kwd>
<kwd lng="en"><![CDATA[Pharyngitis]]></kwd>
<kwd lng="en"><![CDATA[Streptococcus pyogenes]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Llorente Otones]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Vázquez Román]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Iñigo Martín]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Rojo Conejo]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[González Tomé]]></surname>
<given-names><![CDATA[MI]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pyomyositis in children: not only a tropical disease]]></article-title>
<source><![CDATA[An Pediatr (Barc)]]></source>
<year>2007</year>
<volume>67</volume>
<page-range>578-81</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Villamil-Cajoto]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Maceiras-Pan]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Villacián-Vicedo]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pyomyositis: report of seventeen cases]]></article-title>
<source><![CDATA[Rev Med Chil]]></source>
<year>2006</year>
<volume>134</volume>
<page-range>31-8</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nikolopoulos]]></surname>
<given-names><![CDATA[DD]]></given-names>
</name>
<name>
<surname><![CDATA[Apostolopoulos]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Polyzois]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Liarokapis]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Michos]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Obturator internus pyomyositis in a young adult: a case report and review of the literature]]></article-title>
<source><![CDATA[Cases J]]></source>
<year>2009</year>
<volume>2</volume>
<page-range>8588</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kern]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Rassbach]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Ottolini]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Streptococcal pyomyositis of the psoas: case reports and review.]]></article-title>
<source><![CDATA[Pediatr Emerg Care]]></source>
<year>2006</year>
<volume>22</volume>
<page-range>250-3</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ovadia]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Ezra]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Ben-Sira]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Kessler]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Bickels]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Keret]]></surname>
<given-names><![CDATA[D,]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Primary pyomyositis in children: a retrospective analysis of 11 cases]]></article-title>
<source><![CDATA[J Pediatr Orthop B]]></source>
<year>2007</year>
<volume>16</volume>
<page-range>153-9</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bertrand]]></surname>
<given-names><![CDATA[SL]]></given-names>
</name>
<name>
<surname><![CDATA[Lincoln]]></surname>
<given-names><![CDATA[ED]]></given-names>
</name>
<name>
<surname><![CDATA[Prohaska]]></surname>
<given-names><![CDATA[MG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Primary pyomyositis of the pelvis in children: a retrospective review of 8 cases]]></article-title>
<source><![CDATA[Orthopedics]]></source>
<year>2011</year>
<volume>34</volume>
<page-range>e832-40</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Unnikrishnan]]></surname>
<given-names><![CDATA[PN]]></given-names>
</name>
<name>
<surname><![CDATA[Perry]]></surname>
<given-names><![CDATA[DC]]></given-names>
</name>
<name>
<surname><![CDATA[George]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Bassi]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Bruce]]></surname>
<given-names><![CDATA[CE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tropical primary pyomyositis in children of the UK: an emerging medical challenge]]></article-title>
<source><![CDATA[Int Orthop]]></source>
<year>2010</year>
<volume>34</volume>
<page-range>109-13</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Saavedra Lozano]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Santos Sebastián]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández Sampelayo Matos]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Navarro Gómez]]></surname>
<given-names><![CDATA[ML]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Infecciones bacterianas de la piel y tejidos blandos]]></article-title>
<source><![CDATA[Protocolos de Infectología de la AEP]]></source>
<year>03/0</year>
<month>5/</month>
<day>20</day>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Khoshhal]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Abdelmotaal]]></surname>
<given-names><![CDATA[HM]]></given-names>
</name>
<name>
<surname><![CDATA[Alarabi]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Primary obturator internus and obturator externus pyomyositis]]></article-title>
<source><![CDATA[Am J Case Rep]]></source>
<year>2013</year>
<volume>14</volume>
<page-range>94-8</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<collab>American Academy of Pediatrics. Committee on Infectious Diseases</collab>
<article-title xml:lang=""><![CDATA[Severe invasive group A streptococcal infections: a subject review]]></article-title>
<source><![CDATA[Pediatrics]]></source>
<year>1998</year>
<volume>101</volume>
<page-range>136-40</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
