Case of acute paraspinal pyomyositis in an elderly diabetic secondary to spread from urinary tract infection.
Dileep C UnnikrishnanMaria Amanda DelacruzAnamika SahaRichard DanielsPublished in: BMJ case reports (2018)
A 73-year-old woman with medical history of diabetes and hypertension presented with right-sided back pain and night sweats of 1 month duration. On physical examination, there was costovertebral angle tenderness and her urinalysis was indicative for urinary tract infection. She was admitted and managed with intravenous antibiotics. On initial imaging, there was a right-sided retroperitoneal mass adjacent to right kidney. This was investigated further with MRI, which showed diffuse inflammation of right paraspinal muscles with two loculated abscesses. The abscesses were aspirated and the culture sent grew Streptococcus agalactiae (Group B Streptococcus) and the patient was treated with 6-week course of intravenous antibiotics.
Keyphrases
- urinary tract infection
- high resolution
- type diabetes
- biofilm formation
- candida albicans
- high dose
- blood pressure
- liver failure
- oxidative stress
- magnetic resonance imaging
- cardiovascular disease
- healthcare
- contrast enhanced
- physical activity
- respiratory failure
- case report
- mental health
- middle aged
- glycemic control
- staphylococcus aureus
- low grade
- wound healing
- drug induced
- pseudomonas aeruginosa
- community dwelling
- atomic force microscopy
- low dose
- robot assisted
- sleep quality
- computed tomography
- diffusion weighted imaging
- magnetic resonance
- study protocol
- clinical trial
- metabolic syndrome
- intensive care unit
- placebo controlled
- insulin resistance
- acute respiratory distress syndrome