Pectoral tropical pyomyositis: Arare case report

Pectoral tropical pyomyositis: Arare case report

Tropical Pyomyositis is a suppurative infection commonly involving the skeletal muscle. Trauma in an immunocompromised patient predisposes to this condition. Early and prompt diagnosis along with parenteral antibiotics, analgesia and surgical debridement as and when necessary forms the main stay of treatment. In this case report, we present how a 49-year-old male who had a missed diagnosis in general outpatient department of a tertiary care hospital, was later promptly diagnosed in specialist department and treated aggressively without progressing in to worst systemic complications.

___

  • Chauhan S, Jain S, Varma S, Chauhan S. Tropical pyomyositis (myositis tropicans): current perspective. Postgrad Med J. 2004;80:267–70.
  • Scriba J. Beitrang zur, Aetiologie der myositis acuta. Deutsche Zeit Chir. 1885;22:497–502.
  • Christin L, Sarosi GA. Pyomyositis in North America: case reports and review. Clin Infect Dis Off Publ Infect Dis Soc Am. 1992;15:668–77.
  • Ashken MH, Cotton RE. Tropical skeletal muscle abscesses (pyomyositis tropicans). Br J Surg. 1963;50:846–52.
  • Singh SB, Singh VP, Gupta S, et al. Tropical myositis. A clinical immunological and histopathological study. J Assoc Physicians India. 1989;37:561–3.
  • Horn CV, Master S. Pyomyositis tropicans in Uganda. East Afr Med J. 1968;45:463–71.
  • Chiedozi LC. Pyomyositis. Review of 205 cases in 112 patients. Am J Surg. 1979;137:255–9.
  • Sarubbi FA, Gafford GD, Bishop DR. Gram-negative bacterial pyomyositis: unique case and review. Rev Infect Dis. 1989;11:789–92.
  • Hall RL, Callaghan JJ, Moloney E, Martinez S, Harrelson JM. Pyomyositis in a temperate climate. Presentation, diagnosis, and treatment. J Bone Joint Surg Am. 1990;72:1240–4.
  • Tropical pyomyositis (myositis tropicans): current perspective | Postgraduate Medical Journal [Internet]. [cited 2019 Nov 25]. Available from: https:// pmj.bmj.com/content/80/943/267
  • Crossley M. Temperate pyomyositis in an injecting drug misuser. A difficult diagnosis in a difficult patient. Emerg Med J. 2003;20:299–300.
  • Ebright JR, Pieper B. Skin and soft tissue infections in injection drug users. Infect Dis Clin North Am. 2002;16:697–712.
  • Taylor JF, Templeton AC, Henderson B. Pyomyositis. A clinico-pathological study based on 19 autopsy cases, Mulago Hospital 1964-1968. East Afr Med J. 1970;47:493–501.
  • Chukawama CL. Pyomyositis. Am J Surg1979;137:255–9.
  • Immerman RP, Greenman RL. Toxic shock syndrome associated with pyomysitis caused by a strain of Staph aureus that does not produce toxic shock syndrome toxin. J Infect Dis.1987;156:505–7.
  • Brik R, Braun J, Bialik V, et al. Non-tropical pyomyositis in children-- with report of severe neurological complications. Acta Paediatr Scand. 1989;78:331–4.
  • Aynaci O, Onder C, Kalaycioglu A. Anterior tibial compartment syndrome due to the pyomyositis in a patient with rheumatoid arthritis. A case report. Jt Bone Spine Rev Rhum. 2003;70:77–9.
  • Flory P, Brocq O, Euller-Ziegler L, et al. Pyomyositis: cervical localization. J Rheumatol. 1993;20:1411–3.
  • Gupta B, Khanna SK, Sharma BK. Pyomyositis. J Assoc Physicians India. 1980;28:91–4.
  • Meena AK, Rajashekar S, Reddy JJ, et al. Pyomyositis - clinical and MRI characteristics report of three cases. Neurol India. 1999;47:324–6.
  • Gambhir IS, Singh DS, Gupta SS, et al. Tropical pyomyositis in India: a clinico-histopathological study. J Trop Med Hyg. 1992;95:42–6.
  • Brown JD, Wheeler B. Pyomyositis. Report of 18 cases in Hawaii. Arch Intern Med. 1984;144:1749–51.
  • Trusen A, Beissert M, Schultz G, et al. . Ultrasound and MRI features of pyomyositis in children. Eur Radiol. 2003;13:1050–5.
  • Schumacher TM, Genant HK, Korobkin M, et al. Computed tomography. Its use in space-occupying lesions of the musculoskeletal system. J Bone Joint Surg Am. 1978;60:600–7.
  • Soler R, Rodríguez E, Aguilera C, et al. Magnetic resonance imaging of pyomyositis in 43 cases. Eur J Radiol. 2000;35:59–64.
  • Robert L, Reresiewiscz, Parosenet J. Staphylococcal infections. In: Fauci AS, Braunwald E, Martin JB, et al, eds. Harrison’s principles of internal medicine. 15th Ed. New York: McGraw-Hill, 2001;1:889–900.
  • Weasels MR. Streptococcal infections. In: Fauci AS, Braunwald E, Martin JB, et al, editors. Harrison’s principles of internal medicine. 15th Ed. New York: McGraw Hill, 2001;1:901–9.
  • Hudson IR. The efficacy of intranasal mupirocin in the prevention of staphylococcal infections: a review of recent experience. J Hosp Infect. 1994;27:81–98.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
Sayıdaki Diğer Makaleler

Localization and size of 1058 polyps detected in the lower gastrointestinal system and the approach used for their treatment

Ferit Celik, Ali Senkaya, Seymur Aslanov, Omer Ozutemiz, Murat Sezak, Nalan Gulşen Unal

Retrospective analysis of puncture wounds with retained foreign bodies in the extremities requiring surgical intervention

Fevzi Birisik, Yucel Bilgin

How safe are children's shampoos?

Ibrahim Hakan Bucak, Habip Almis, Huseyin Tanriverdi

Is there any relationship between glycodelin levels and perinatal outcomes?

Asiye Uzun, Emine Aydin

Nursing students' perspectives on the quality of nursing care in-home health care

Ilknur Dolu, Ahu Kurklu, Elif Donmez

Optic nerve head microvascular differences in ambliopic eyes- an observational case-control study

Sabahattin Sul, Aylin Karalezli, Mujdat Karabulut, Sinem Karabulut

Surgical treatment of hip fractures in patients aged 90 years old and over: Multifactorial retrospective study

Yucel Bilgin, Fevzi Birisik

The effect of smoking on the duration of drain and hospital stay in patients with primary spontaneous pneumothorax

Halil Ci̇ftci

Splenic artery aneurysm: Management of a rare entity in a series of patients

Server Sezgin ULUDAĞ, Deniz Esin TEKCAN, Nazım GÜREŞ, Ahmet Necati ŞANLI, Berk ARAPİ, Sabri SİROLU, Fatih GÜLŞEN, Abdullah Kağan ZENGİN

Gender prediction with parameters obtained from pelvis computed tomography images and decision tree algorithm

Zulal Oner, Muhammed Kamil Turan2, Serkan Oner, Yusuf Secgin1