Acute respiratory distress syndrome in a young soccer player: search obturator internus primary pyomyositis. A reverse Lemierre syndrome

Pyomyositis of the obturator internus muscle is a rare condition, usually affecting children after trauma or muscular effort. Diagnosis is often delayed and may lead to severe infectious complications. We discuss hereafter the case of a 24-year-old patient who presented a primary pyomyositis of the right obturator internus muscle complicated by a thrombosis of the adjacent internal iliac vein and septic pulmonary emboli and acute respiratory distress syndrome.