Pyomyositis of the Sternocleidomastoid Muscle after Tooth Extraction: A Case Report
용해성, 김대훈, 허종기, 김재영,
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용해성 ( Yong Hae-Seong ) - Yonsei University College of Dentistry Gangnam Severance Hospital Department of Oral and Maxillofacial Surgery
김대훈 ( Kim Dae-Hoon ) - Yonsei University College of Dentistry Gangnam Severance Hospital Department of Oral and Maxillofacial Surgery
허종기 ( Huh Jong-Ki ) - Yonsei University College of Dentistry Gangnam Severance Hospital Department of Oral and Maxillofacial Surgery
김재영 ( Kim Jae-Young ) - Yonsei University College of Dentistry Gangnam Severance Hospital Department of Oral and Maxillofacial Surgery
KMID : 1146620200090030105
Abstract
Pyomyositis is a primary bacterial infection of the striated muscle. The sternocleidomastoid muscle (SCM) is rarely involved in pyomyositis because of its excellent blood supply from the branches of the external carotid artery. In this study, we present the report of a 67-year-old male with an uncommon case of pyomyositis of the sternocleidomastoid muscle who had been taking methylprednisolone and isoniazid for rheumatoid arthritis and latent tuberculosis, respectively. The infection in the SCM occurred after the drainage of an abscess in the left submandibular and sublingual space that appeared after extraction of a tooth. Although pyomyositis of the head and neck area is rare, it can lead to severe complications, and even death, if treated improperly. It is also known that patients with reduced immunity are susceptible to these infections. Therefore, if cervical edema or redness is observed in immunocompromised patients, a more intensive clinical and radiographic examination is recommended for differential diagnosis of pyomyositis.
키워드
Pyomyositis; Abscess; Sternocleidomastoid muscle
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