Pyomyositis with thigh abscesses
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At the time the case was submitted for publication Mohamed Mahmoud Elthokapy had no recorded disclosures.View Mohamed Mahmoud Elthokapy's current disclosures
Known patient with IV drug use presented to ER by left thigh painful swelling , fever and limited movement.
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Extensive left thigh intermuscular infection with widespread heterogenous loculated collections and surrounding muscle edema involving mainly the anterior muscle groups. Mild focal femur shaft marrow edema with no cortical breach.
Preserved femoral vessels. However the distal segment of profunda femoral vessel appears ectatic with eccentric mural filling defect.
Extensive left thigh deep muscular infection with localized collections/abscesses and surrounding marked edema as well as inflammatory changes.
The collection was aspirated under US guidance and revealed it contained pus.