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BMJ Case Reports 2012; doi:10.1136/bcr.12.2011.5392
  • Unusual presentation of more common disease/injury

Pyomyositis of the piriformis muscle presenting with sciatica in a teenage rugby player

  1. Singu Mangaleshkar2
  1. 1Trauma and Orthopaedics Department, NHS Ayrshire and Arran, Ayr, UK
  2. 2Trauma and Orthopaedics Department, The Dudley Group of Hospitals NHS Foundation Trust, Dudley, UK
  3. 3Radiology Department, The Dudley Group of Hospitals NHS Foundation Trust, Dudley, UK
  1. Correspondence to Mr Dia Eldean Giebaly, dia.giebaly{at}doctors.org.uk

Summary

The authors report a rare case of piriformis pyomyositis, in a teenage rugby player, who was initially feverish and presented to us with low back pain, sciatica and inability to mobilise due to pain. Subsequent imaging investigations (MRI scan) revealed abscess formation in the piriformis muscle with compression effect on the ipsilateral sciatic nerve. A course of intravenous antibiotic therapy followed by oral antibiotics fully resolved his symptoms and returned inflammatory markers back to normal.

Footnotes

  • Competing interests None.

  • Patient consent Obtained.

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