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BRIEF COMMUNICATION
Year : 2010  |  Volume : 58  |  Issue : 6  |  Page : 532-535

Pyomyositis of extraocular muscle: Case series and review of the literature


1 Department of Ophthalmic Plastic Surgery, Orbit, Ocular Oncology and Ocular Prosthesis, Dr. Thakorbhai V. Patel Eye Institute, Vadodara, Gujarat, India
2 Department of Paediatric Ophthalmology and Squint Surgery, Dr. Thakorbhai V. Patel Eye Institute, Vadodara, Gujarat, India

Correspondence Address:
Ishan G Acharya
Department of Ophthalmic Plastic Surgery, Orbit, Ocular Oncology and Ocular Prosthesis, Dr. Thakorbhai V. Patel Eye Institute, Haribhakti Complex, Vinoba Bhave Road, Salatwada, Vadodara - 390 001, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.71712

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Pyomyositis is a primary acute bacterial infection usually caused by Staphylococcus aureus. Any skeletal muscle can be involved, but the thigh and trunk muscles are commonly affected. Only three cases of extraocular muscle (EOM) pyomyositis have been reported. We herein present four cases of isolated EOM pyomyositis. Three of our cases presented with acute onset of proptosis, pain, swelling and redness. One patient presented with mass in the inferior orbit for 4 months. One patient had central retinal artery occlusion on presentation. None of them had marked systemic symptoms. Computed tomography scan of all patients showed a typical hypodense rim enhancing lesion of the muscle involved. Three patients were started on intravenous antibiotics immediately on diagnosis and the pus was drained externally. Two patients underwent exploratory orbitotomy. In conclusion, it should be considered in any patient presenting with acute onset of orbital inflammation. Management consists of incision and drainage coupled with antibiotic therapy.


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