Piriformis pyomyositis, an unusual presentation of leg pain post partum – case report and review of literature

@article{Wong2012PiriformisPA,
  title={Piriformis pyomyositis, an unusual presentation of leg pain post partum – case report and review of literature},
  author={L F A Wong and Sieglinde Mullers and E. P. J. Mcguinness and James F. Meaney and Michael P. O’connell and C Fitzpatrick},
  journal={The Journal of Maternal-Fetal \& Neonatal Medicine},
  year={2012},
  volume={25},
  pages={1505 - 1507}
}
Piriformis pyomyositis is defined as a subacute infection of skeletal muscles associated with systemic infectious symptoms. In the literature it rarely occurs postpartum. We report a case of piriformis pyomyositis involving a parturient and review the published cases available in the literature. 
Unprovoked piriformis myositis presenting in a pregnant patient
TLDR
A patient in her mid-30s presented to hospital at 25 weeks’ gestation with acute onset of leg pain and delivered by elective caesarean section, but the pain returned on postnatal day 2 and muscle inflammation was diagnosed again, requiring a repeat course of antibiotics.
Differential Diagnosis of Piriformis Syndrome and Its Implication for Physiotherapy
Piriformis Syndrome (PS) Is aneuromuscular Condition Condition that must be Considered in the differential Pathology. Regardless of the Physiopathologic should be combined to confirm the diagnosis.
The piriformis abscess: a case-based review
TLDR
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 in early-stage pyomyositis.
Piriformis pyomyositis, a cause of piriformis syndrome—a systematic search and review
TLDR
To treat the piriformis pyomyositis, broad-spectrum antibiotics were found to be useful; however, sometimes, antibiotic switching was warranted based on blood and tissue aspirate reports.
Postpartum piriformis pyomyositis following vaginal delivery.

References

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Piriformis Pyomyositis: A Report of Three Cases
TLDR
Signs and symptoms of piriformis pyomyositis are reported in 3 women who were treated mainly with antibiotics and Computed tomography is useful in making the diagnosis.
Sciatica due to piriformis pyomyositis. Report of a case.
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  • Medicine
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TLDR
Sciatica due to piriformis pyomyositis is diagnosed and surgery to correct the problem is suggested to be simple and straightforward.
Pyomyositis of the piriformis muscle in a juvenile.
TLDR
This case, the first in the English speaking literature of piriformis involvement in a juvenile, serves to illustrate the need for a high index of suspicion when treating children with symptoms related to impalpable pathology deep in the pelvis and the usefulness of MRI in early diagnosis and treatment before abscess formation.
Piriformis pyomyositis: a rare cause of sciatica.
TLDR
A 30-year-old Thai woman with piriformis pyomyositis presented with sciatica, which has only been reported three other times and is often diagnosed with difficulty, and made a complete recovery after a course of intravenous antibiotics.
Pyomyositis. Review of 205 cases in 112 patients.
Piriformis pyomyositis with sciatica: an unrecognized complication of "unsafe" abortions.
TLDR
Piriformis pyomyositis should be recognized as a potential complication of "unsafe" abortions that if left untreated could progress to sepsis and death.
Calciphylaxis--a rare cause of pretibial haematoma.
TLDR
This case, the first in the English speaking literature of piriformis involvement in a juvenile, serves to illustrate the need for a high index of suspicion when treating children with symptoms related to impalpable pathology deep in the pelvis and the usefulness of MRI in early diagnosis and treatment before abscess formation.
The role of imaging modalities in diagnosis and managment of pyomyositis
A case of tropical pyomyositis in a temperate climate is reported and 29 more cases are reviewed from the literature. Because of its rarity and deceiving clinical presentation, the disorder may go
A rare cause of a piriformis syndrome.
TLDR
" short leg" is one of the rare causes of piriformis syndrome and can be seen alone or with the other causes, and the injection on Piriformis muscle could be more effective for the patients who have PS after the "short leg" treated.
Piriformis pyomyositis mimicking epidural abscess in a parturient
TLDR
A case is presented of a patient who developed fever, leukocytosis, severe back pain, local overlying spinal tenderness, and left leg weakness on the fifth day postpartum, and was discharged requiring no medications.
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