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

Korean Journal of Pediatrics 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 Kim, Dal Hyon Kim, Soon Ki Kim, Byong Kwan Son, Young Jin Hong
Department of Pediatrics, College of Medicine, Inha University, Incheon, Korea.
독성 쇼크 증후군을 동반한 Methicillin 저항성 황색 포도알균 화농성 근염 1례
김양경, 김달현, 김순기, 손병관, 홍영진
인하대학교 의과대학 소아과학교실
Correspondence: 
Young Jin 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.
Key Words: Myositis, Toxic shock syndrome, Staphylococcus aureus, Methicillin resistance


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