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Table 1 Clinical stages of pyomyositis

From: Obturator internus pyomyositis in a young adult: a case report and review of the literature

Stage 1

- ;Crampy local muscle pain, swelling, low-grade fever, mild leukocytosis, induration of muscles leading to a 'woody' texture.

 

- No fluctuance and aspiration with not yield pus.

 

- About 2% of patients present in this stage.

Stage 2

- 10-21 days after onset of symptoms.

 

- Fever, exquisite tenderness, edema, marked leukocytosis with eosinophilia in many tropical cases.

 

- Aspiration will yield pus.

 

- > 90% cases present at this stage.

Stage 3

- Bacteremia, toxic appearance, marked fluctuance.