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Pyomyositis is defined as the pyogenic infection of skeletal muscle, which leads to the formation of an abscess. It is difficult to diagnose in its early course, due to poor localizing signs and vague presentation. Diagnosing pyomyositis needs a high index of suspicion. Any delay in diagnosis will lead to sepsis, compartment syndrome, and ultimately death. We describe here a case of pyomyositis of the left thigh, with a relatively non-specific presentation, who was successfully managed with antibiotics and aspiration of pus.

Spinal tuberculosis is the most common form of skeletal tuberculosis, and it can be destructive and devastating to the patient. Most of the spinal tuberculosis cases involve thoracic spine, and cervical involvement is unusual and rare. This case series is about different presentation and treatment approaches of cervical spine tuberculosis in four healthy young girls without any comorbidities. Among them, three girls presented with severe neurological complications. All of them had a history of severe neck pain and stiffness. None had constitutional symptoms or tuberculosis exposure. Diagnosis was made with the help of magnetic resonance imaging (MRI) spine and histopathological and microscopy of biopsied skeletal segments. The three girls with neurological complications were treated with surgical debridement and cervical spine stabilization surgery along with antitubercular treatment (ATT). All the three girls remarkably improved neurologically with a combined approach. The one without significant neurological deficits was started on ATT alone and advised to follow up with serial neuroimaging.

This article discusses a rare case of bilateral medial medullary infarction, a type of stroke that affects less than 0.5% of all cerebral infarcts. The usual presentation of this condition includes contralateral hemiplegia, loss of vibration sensation, and ipsilateral hypoglossal paralysis. However, the patient in this case had an incomplete syndrome, presenting with giddiness, numbness in the right lower limb, and weakness in the right upper and lower limbs. The MRI revealed bilateral ventral medulla infarction with the characteristic "heart appearance sign." The patient was treated with medication and physiotherapy, and her symptoms improved without respiratory failure. [Extracted from the article]