Critical Care and Shock

Secondary pyomyositis complicated by septic shock and sepsis-induced cardiomyopathy causing a massive erector spinae abscess in a patient after trigger point injection

Abstract

Trigger point injection is a common pain control method widely practiced around the world.

We report the case of a 53-year-old female who presented with lumbago and septic shock complicated with sepsis-induced cardiomyopathy three days after receiving a trigger point injection. She responded to sepsis treatment and empiric antibiotics but later required extensive drainage and debridement after a follow-up CT scan revealed a massive abscess above the fascia of erector spinae spanning from the level of the 1st thoracic spine to the 5th lumbar spine. With extensive surgical drainage and effective antimicrobial treatment, the patient recovered fully and was discharged without any sequelae.

Secondary pyomyositis complicated by septic shock and sepsis-induced cardiomyopathy causing a massive erector spinae abscess in a patient after trigger point injection