Piriformis Pyomyositis in a Patient with Kikuchi-Fujimoto Disease - A Case Report and Literature Review

Rev Bras Ortop (Sao Paulo). 2019 Apr;54(2):214-218. doi: 10.1016/j.rboe.2017.09.005. Epub 2019 Apr 15.


Primary pyomyositis is a deep bacterial infection of the skeletal muscle. If left undiagnosed and untreated, the infection spreads, leading to sepsis, septic shock, and even death. The authors report a 23-year-old female presenting with piriformis pyomyositis during a treatment for Kikuchi-Fujimoto disease. Pyomyositis is a rare but potentially severe infection, which can lead to septic shock. The present case shows the need for a high degree of clinical suspicion for patients with compromised immune systems to begin treatment at an early stage. The literature demonstrates that outcomes of the treatment of piriformis pyomyositis are good.

Keywords: histiocytic necrotizing lymphadenitis; pyomyositis; staphylococcus aureus.

Publication types

  • Case Reports