Sonographic appearance of pyomyositis of the sternocleidomastoid muscle: A case report

J Clin Ultrasound. 2017 Oct;45(8):520-523. doi: 10.1002/jcu.22428. Epub 2016 Nov 22.

Abstract

Pyomyositis in the neck has rarely been described. We present the sonographic findings in a case of pyomyositis of the sternocleidomastoid muscle. A 62-year-old man with poorly controlled diabetes presented with an induration of the neck and fever. On gray-scale sonography, a part of the sternocleidomastoid muscle appeared swollen and contained irregularly shaped hypoechoic areas. Power Doppler imaging showed increased vascularity in the muscle. Sonographic-guided aspiration confirmed abscesses in the sternocleidomastoid muscle. Surgical drainage was successfully performed along with antibiotic treatment. © 2016 Wiley Periodicals, Inc. J Clin Ultrasound 45:520-523, 2017.

Keywords: Doppler imaging; musculoskeletal ultrasound; pyomyositis; sternocleidomastoid muscle.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Drainage / methods*
  • Humans
  • Male
  • Meropenem
  • Middle Aged
  • Neck Muscles / diagnostic imaging*
  • Pyomyositis / diagnostic imaging*
  • Pyomyositis / therapy*
  • Thienamycins / therapeutic use
  • Treatment Outcome
  • Ultrasonography / methods*
  • Vancomycin / therapeutic use

Substances

  • Anti-Bacterial Agents
  • Thienamycins
  • Vancomycin
  • Meropenem