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DC Field | Value | Language |
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dc.contributor.author | Lia, Charmaine | - |
dc.contributor.author | Cremona, Chris | - |
dc.contributor.author | Giordimaina, Ryan | - |
dc.contributor.author | Thake, John | - |
dc.contributor.author | Malia Azzopardi, Charles | - |
dc.date.accessioned | 2020-07-27T05:59:09Z | - |
dc.date.available | 2020-07-27T05:59:09Z | - |
dc.date.issued | 2020-07 | - |
dc.identifier.citation | Lia, C., Cremona, C., Giordimaina, R., Thake, J., & Malia Azzopardi, C. (2020). Multifocal pyomyositis following normal vaginal delivery : a case-based report. Malta Medical Journal, 32(1), 99-105. | en_GB |
dc.identifier.uri | https://www.um.edu.mt/library/oar/handle/123456789/59022 | - |
dc.description.abstract | Here we present a rare case of a 38-year-old Caucasian primigravida with persistent pelvic pain postpartum after normal vaginal delivery. MR imaging was unremarkable and after being managed conservatively she was discharged on the fourth post-partum day. However, she represented two weeks later at the A&E department with features of sepsis, requiring an admission at the local intensive care unit. Repeat MR imaging showed multifocal pyomyositis affecting the right lower psoas and ipsilateral iliacus muscle, right multifidus and erector spinae musculature, ipsilateral piriformis and the gluteus maximus muscle. This was associated with septic arthritis of the sacroiliac joints. The patient was stabilised and started on potent broad-spectrum antibiotics. An incision and drainage was performed with pus cultures being positive for Escherichia coli and Streptococcus gallolyticus. Despite treatment, patient was still febrile and subsequent MR imaging showed persistent abscess formation in the iliacus together with septic arthritis. A CT guided drain insertion to which she responded well. After this 16-day hospital stay the patient was discharged in a stable general condition, being able to maintain all her previous activities of daily living. She was followed up regularly at orthopedic outpatients. | en_GB |
dc.language.iso | en | en_GB |
dc.publisher | University of Malta. Medical School | en_GB |
dc.rights | info:eu-repo/semantics/openAccess | en_GB |
dc.subject | Pelvic pain -- Diagnosis | en_GB |
dc.subject | Puerperium | en_GB |
dc.subject | Psoas Abscess | en_GB |
dc.title | Multifocal pyomyositis following normal vaginal delivery : a case-based report | en_GB |
dc.type | article | en_GB |
dc.rights.holder | The copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder. | en_GB |
dc.description.reviewed | peer-reviewed | en_GB |
dc.publication.title | Malta Medical Journal | en_GB |
Appears in Collections: | MMJ, Volume 32, Issue 1 MMJ, Volume 32, Issue 1 Scholarly Works - FacM&SOG |
Files in This Item:
File | Description | Size | Format | |
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MMJ32(1)CR1.pdf | 553.75 kB | Adobe PDF | View/Open |
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