The piriformis abscess: a case-based review

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SALEHI MOHAMMAD REZA; GHIASVAND FERESHTEH; FEIZABADI MOHAMMAD MEHDI; ZAREI MOHAMMAD; Ayoobi Yazdi Niloofar; ALIJANI NEDA; Qaempanah Mehdi; Seyedpour Simin

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Journal: Iranian Journal of Microbiology Year:2021 | Volume:13 | Issue:2 Page(s): 252-256

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Title

The piriformis abscess: a case-based review

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Keywords

Bacterial infection

Abscess

Staphylococcal infections

Piriformis muscle syndrome

Pelvic pain

Abstract

This study reports a 43 years-old man diagnosed with piriformis pyomyositis. A literature review was conducted by searching MEDLINE via Pubmed for English language case reports, published from 8th December 2019 to 20th January 2020. Patients' symptoms, laboratory tests, imaging, treatment, and other comorbidities were evaluated. Thirty-two cases diagnosed with piriformis pyomyositis, of which 21 patients developed piriformis Abscess (including one new patient added by us) of which 52. 4% were female, and the mean age was 26. 98 ± 17. 5. The most common manifestations were fever, lower back pain, and limited ambulation with increased ESR, CRP, or leukocytosis. Staphylococcus aureus was the most prevalent (57. 14%) pathogen isolated. The authors suggested gynecologic manipulations, muscle overuse, and other co-infections as probable risk factors. However, we fail to find any association between these factors and Abscess formation (p>0. 05). Piriformis Abscess should be regarded as a probable diagnosis in patients with gluteal pain, fever, and limited ambulation that have raised inflammatory markers or leukocytosis. MRI and CT scans are beneficial in diagnosing pyomyositis in early-stage. Full recovery is expected with timely antibiotic and surgical treatments.

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APA: Copy

SALEHI, MOHAMMAD REZA, GHIASVAND, FERESHTEH, FEIZABADI, MOHAMMAD MEHDI, ZAREI, MOHAMMAD, Ayoobi Yazdi, Niloofar, ALIJANI, NEDA, Qaempanah, Mehdi, & Seyedpour, Simin. (2021). The piriformis abscess: a case-based review. IRANIAN JOURNAL OF MICROBIOLOGY, 13(2), 252-256. SID. https://sid.ir/paper/678794/en

Vancouver: Copy

SALEHI MOHAMMAD REZA, GHIASVAND FERESHTEH, FEIZABADI MOHAMMAD MEHDI, ZAREI MOHAMMAD, Ayoobi Yazdi Niloofar, ALIJANI NEDA, Qaempanah Mehdi, Seyedpour Simin. The piriformis abscess: a case-based review. IRANIAN JOURNAL OF MICROBIOLOGY[Internet]. 2021;13(2):252-256. Available from: https://sid.ir/paper/678794/en

IEEE: Copy

MOHAMMAD REZA SALEHI, FERESHTEH GHIASVAND, MOHAMMAD MEHDI FEIZABADI, MOHAMMAD ZAREI, Niloofar Ayoobi Yazdi, NEDA ALIJANI, Mehdi Qaempanah, and Simin Seyedpour, “The piriformis abscess: a case-based review,” IRANIAN JOURNAL OF MICROBIOLOGY, vol. 13, no. 2, pp. 252–256, 2021, [Online]. Available: https://sid.ir/paper/678794/en

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