Abstract
Anterior tibial compartment syndrome was developed due to pyomyositis in a 33-year-old male patient with rheumatoid arthritis while receiving steroid therapy during the follow-up period. The preoperative physical examination, laboratory findings, MRI images, intraoperative observation and postoperative histopathological examinations confirmed the association with pyomyositis. The surgical drainage and antibiotic treatment were effective, and in the follow-up period, neuromuscular dysfunctions disappeared completely within 6 months. The patient has been asymptomatic for 4 years of follow-up. To date, anterior tibial compartment syndrome due to pyomyositis in a case with rheumatoid arthritis has not been reported.
MeSH terms
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Adult
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Anterior Compartment Syndrome / diagnostic imaging
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Anterior Compartment Syndrome / etiology*
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Anterior Compartment Syndrome / therapy
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Anti-Bacterial Agents / therapeutic use
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Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
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Antirheumatic Agents / therapeutic use
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Arthritis, Rheumatoid / complications*
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Arthritis, Rheumatoid / drug therapy
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Azathioprine / therapeutic use
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Cefazolin / therapeutic use
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Cefuroxime / therapeutic use
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Debridement
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Drainage
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Humans
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Magnetic Resonance Imaging
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Male
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Myositis / complications*
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Myositis / diagnostic imaging
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Myositis / therapy
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Radiography
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Suppuration
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Tibia / pathology
Substances
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Anti-Bacterial Agents
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Anti-Inflammatory Agents, Non-Steroidal
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Antirheumatic Agents
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Cefazolin
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Azathioprine
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Cefuroxime