Team approach: Pyomyositis

» Pediatric musculoskeletal infections are common, with variable presentations that are dependent on patient age, development, and disease severity. The current report focuses on a patient with pyomyositis. » Pyomyositis traditionally has been observed in tropical climates, but it is increasingly being noted in more moderate climates throughout the United States. It predominately affects males, and Staphylococcus aureus is the primary causative agent. » Children with suspected pyomyositis should be evaluated urgently for bacteremia. Diagnosis involves a thorough history and physical examination, with the understanding that the condition can present with a wide degree of variation. » Definitive treatment requires antibiotics and often operative intervention. Sequelae can occur.