Post injection myositis - thigh

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

History of vaccination Injection in the thigh five 5 days back. Complaining of fever and local thigh pain for the last one day.

Patient Data

Age: 5 yrs
Gender: Male
ultrasound

The vastus lateralis muscle belly shows an ill-defined area of hypoechoic echo pattern, outward bulging of fibro adipose septa. No floating echoes. Approximate size - 60 (craniocaudal) x 25 (transverse) x 20 mm (anteroposterior) mm. Local hypervascularity present. No femur cortical erosion/ subperiosteal collection. No extension into other muscles. No thrombosis of the femoral artery.

Case Discussion

Findings favor post-injection vastus lateralis myositis without abscess formation.

A companion case shows a post-injection abscess of the thigh in a pediatric patient: https://doi.org/10.53347/rID-32906

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.