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Taksande A et al. - Pyomyositis should be considered in the differential diagnosis of septic-appearing children as well as children complaining of joint pain or muscle aches. The diagnosis can be aided by either a computed tomography or magnetic resonance imaging scan. If the patient does not respond quickly to antibiotics and surgical intervention, there is either a recurrence of the previously debrided abscess or an unrecognized secondary abscess. Here, the authors present a case of primary pyomyositis of the iliacus muscle that might be due to severe pneumonia in a five-year-old child.

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