Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
N Am J Med Sci. 2013 Oct;5(10):600-3. doi: 10.4103/1947-2714.120796.

Tropical pyomyositis.

Author information

  • Department of Medicine, Nilratan Sircar Medical College and Hospital, Kolkata, West Bengal, India.

Abstract

BACKGROUND:

Tropical pyomyositis is characterized by suppuration within skeletal muscles, manifesting as single or multiple abscesses. Though primarily a disease of tropics, it is increasingly being reported from temperate regions in immunosuppressed patients. However, India has only few sporadic case reports.

AIMS:

The aim of this study is to evaluate the causative organisms, clinical presentations, diagnostic modalities, treatment protocols and outcome data in tropical pyomyositis patients.

SUBJECTS AND METHODS:

The study was carried out in Nilratan Sircar Medical College and Hospital, Kolkata over 3 years (July 2010 to June 2013). A total of 12 patients were diagnosed with tropical pyomyositis (confirmed with aspiration and culture of pus from muscle). All the investigation and treatment data were recorded systematically.

RESULTS:

The presenting feature was high fever and myalgia in all 12 patients. Quadriceps femoris was the most commonly involved muscle (50%); followed by iliopsoas (25%). Culture of the aspirate showed Staphylococcus aureus in nine patients (75%), Klebsiella pneumonia in one patient (8.33%) and no growth in two patients (16.67%) even after tubercular and fungal culture.

CONCLUSIONS:

Tropical pyomyositis can affect immune-competent individuals. S. aureus is the most commonly cultured organism. Immediate initiation of appropriate antibiotics and surgical debridement are required to avoid complications. The prognosis remains excellent if promptly treated.

KEYWORDS:

Fever; Muscle pain; Staphylococcus aureus; Tropical pyomyositis

PMID:
24350072
[PubMed]
PMCID:
PMC3842701
Free PMC Article

Images from this publication.See all images (1)Free text

Figure 1
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for Medknow Publications and Media Pvt Ltd Icon for PubMed Central
    Loading ...
    Write to the Help Desk