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Pyomyositis of Pyriformis Muscle Caused by Vigorous Exercise and Acupuncture in a Healthy Boy

Journal of the Korean Pediatric Society 1997;40(11):1608-1611.
Published online November 15, 1997.
Pyomyositis of Pyriformis Muscle Caused by Vigorous Exercise and Acupuncture in a Healthy Boy
Joo Hun Choi1, Seo Jeong Kim1, Woo Hyun Ahn2
1Department of Pediatrics, Pundang Cha General Hospital, Sungnam, Korea
2Department of Radiology, Pundang Cha General Hospital, Sungnam, Korea
한방 치료(침)과 관련된 이상근(pyriformis muscle)의 화농성 근염과 패혈증
최주헌1, 김서정1, 안우현2
1분당차병원 소아과
2분당차병원 방사선과
Abstract
A case of pyomyositis of right pyriformis and iliacus muscle in a healthy 13 year old male patient is presented and discussed. Pyomyositis is a primary acute bacterial infection of large skeletal muscles, associated with abscess formation. Since pyomyositis has been reported mainly in tropical countries and is rare in temperate climates, the name ' tropical myositis' is often used. Outside the tropics, pyomyositis is often associated with immune compromised state, and vigorous muscle acivity may have a role in some cases of pyomyositis. In this case, thirteen year old healthy boy developed severe right buttock pain after vigorous gymnasium activity and was treated with acutpucture, then showed high fever and aggrevation of pain. This case was thought to be associated muscle injury due to vigorous gymnasium activity and transient bacteremia following cutaneous acupuncture. He was treated with ultrasono guided needle aspiration and parenteral antibiotics successfully.
Key Words: Pyomyositis, Pyriformis muscle, Muscle injury, Acupuncture


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