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Case Report

Epidural Abscess Secondary to Paravertebral Pyomyositis in a Patient with a Sacrococcygeal Suppurated Cyst

Dario Piazzalunga1, Federico Coccolini1, Nicola Colaianni1, Roberto Manfredi1, Alessandro Lunghi2, Alessandra Tebaldi3, Giulia Montori1,4*, Giulia Merigo1,4, Luca Baiocchi4, Nazario Portolani4 and Luca Ansaloni1
1General and Emergency Surgery Department, Ospedale Papa Giovanni XIII, Bergamo, Italy
2Neuroradiology Department, Ospedale Papa Giovanni XIII, Bergamo, Italy
3Infectious Diseases Department, Ospedale Papa Giovanni XIII, Bergamo, Italy
4General Surgery III department, Spedale Civile, Brescia, Italy
Corresponding Author : Giulia Montori
General Surgery Department
Ospedale Papa Giovanni XIII
Piazza OMS 1 24100, Bergamo, Italy
Tel: 039-3292244306
Email: giulia.montori@gmail.com
Received July 15, 2014; Accepted October 21, 2014; Published October 28, 2014
Citation: Piazzalunga D, Coccolini F, Colaianni N, Manfredi R, Lunghi A, et al. (2014) Epidural Abscess Secondary to Paravertebral Pyomyositis in a Patient with a Sacrococcygeal Suppurated Cyst. J Infect Dis Ther 2:173. doi: 10.4172/2332-0877.1000173
 
Copyright: © 2014 Piazzalunga D, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 
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Abstract

Pyomyositis is a sub-acute bacterial infection involving the skeletal muscle that can occur in a primitive form (rare, more common in tropical climates and so called "tropical myositis") or secondary to inflammatory phenomena of the skin, subcutaneous, or adjacent bone. It has been described the possibility that an epidural abscess could complicate a myositis of the paraspinal muscles. Moreover exists the description of paravertebral myositis complicating a suppurated sacrococcygeal pilonidal cyst. In this case, the patient presents a sacrococcygeal abscess evolving to a paravertebral myositis and further to an epidural abscess that has never been described before.

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