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CT scan in diagnosing focal myositis: a case report.

Leila Hamadou,Rihab Moncer,Walid Ouanes,Sinene El Frigui,Emna Toulgui,Khaled Maaref,Sonia Jemni.


Focal myositis (FM) is an inflammatory muscle disease of unknown cause. It can simulate sural thrombophlebitis if it affects the lower limb. We report the case of a 15-year-old child with complete post-traumatic quadriplegia who developed edema of the left leg with a tense calf, slight redness and an increase in local heat. A CT angiography of the lower limbs excluded deep vein thrombosis and showed a myositis of the posterior compartment of the left leg. The patient was put on an anti-inflammatory drug with complete disappearance of the edema after seven days. In this reported case, we highlight the role of CT in the diagnosis and follow-up of FM as it’s cheaper and more accessible than MRI. The outcome is often favorable with spontaneous resolution or under anti-inflammatory treatment after a few weeks.

Key words: spinal cord injury; tetraplegia; focal myositis; lower limb; computed tomography

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