All issues > Volume 48(1); 2005

Case Report

Korean J Pediatr. 2005;48(1):88-92. Published online January 15, 2005.

A Case of Pyomyositis and Toxic Shock Syndrome Caused by Methicillin Resistant Staphylococcus aureus

Yang Kyong YK Kim¹, Dal Hyon DH Kim¹, Soon Ki SK Kim¹, Byong Kwan BK Son¹, Young Jin YJ Hong¹

¹Department of Pediatrics, College of Medicine, Inha University, Incheon, Korea.

Correspondence Young Jin YJ Hong ,Email: hongyjin@inha.ac.kr

Abstract

Pyomysitis is a primary acute bacterial infection of large skeletal muscule, usually occuring in the absence of specific cause of infection. Pyomyositis has been reported mainly in tropical countries and was rare in temperate climates. but it has been recognized with increasing frequency. Toxic shock syndrome(TSS) is an acute mutisystemic disease characterized by high fever, hypotension, multisystem dysfunction and erythematous rash followed by skin desquamation 8-12 days after onset. Especially, TSS and pyomyositis are rare conditions in the pediatric population. We experienced one case in a healthy 13-year-girl who developed pyomyositis of the right ileac and gluteal muscles associated with TSS caused by methicillin resistant Staphylococcus aureus. We reports a case of acute pyomyositis with TSS, in which the diagnosis was difficult because of the relative rare incidence in temperate climates and its vague symptoms. To our knowledge, this is the first reported case of pyomyositis with TSS in Korean pediatric population.

Keywords :Myositis, Toxic shock syndrome, Staphylococcus aureus, Methicillin resistance