Primary suppurative myositis in children
S. Sirinavin and G. H. McCracken Jr
Primary suppurative myositis is rare in the United States when compared
with the incidence of disease in the tropics. Clinically, it may mimic many
of the more common diseases, such as hematoma, osteomyelitis, arthritis, or
appendiceal abscess. It usually has a benign course, with complete recovery
after appropriate treatment. Prolonged morbidity and an increased mortality
may result from unfamiliarity with this entity. Six children had primary
suppurative myositis; one died as a result of perforation of a psoas
abscess into the dural sac causing staphylococcal meningitis.