1887
Volume 2002, Issue 2
  • ISSN: 0253-8253
  • E-ISSN: 2227-0426

Abstract

Pyomyositis is a bacterial infection affecting the large muscle groups and is usually accompanied by abscess formation; the term “tropical myositis” being an alternative as it is more common in the tropical regions, and has become an increasingly recognized entity in temperate climates. Normally skeletal muscle is resistant to metastatic infections but it seems likely that more than one specific factor can remove this barrier. The most common organism being found in about 90% of the cases, while are next in frequency. Other bacterial species have been incriminated; fungal infection can also cause local destruction and abscess formation, while viral infection (notably Coxsackie viruses) may result in acute rhabdomyolysis. The spread is hematogenous except in those cases in which there is direct extension, as from osteomyelitis, and the muscles commonly affected are the glutei, quadriceps, shoulder and axial. The abscess forms deep inside such muscles.

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2002-11-01
2019-12-08
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References

  1. Chiedozi LC. Pyomyositis. Review of205 cases in 112 patients. Am J Surg. 1979; 137::255259.
    [Google Scholar]
  2. Levin MJ, Gardner P, Waldvogel FA. “Tropical” pyomyositis. N Engl J Med. 1971; 284::196.
    [Google Scholar]
  3. Gibson RK, Rosenthal SJ, Lukert BP. Pyomyositis. Increasing recognition in temperate climates. Am J Med. 1984; 77::768772.
    [Google Scholar]
  4. Spiegel DA, Meyer JS, Dormans JP, Flynn JM, Drummond DS. Pyomyositis in children and adolescents: report of 12 cases and review of the literature. J Pediatr Orthop. 1999; 19:2:143150.
    [Google Scholar]
  5. Auletta M, Antoniello S, Pardo F, Radice L. Pyomyositis in Italy: Report of a clinical case. Ann Ital Med Int. 1997; 12:1:3942.
    [Google Scholar]
  6. Mileno MD, Bia FJ. The compromised traveler. Infect Dis Clin North Am. 1998; 12:2:369412.
    [Google Scholar]
  7. Saissy JM, Ducourau JP, Tchoua R, Diatta B. Tropical myositis. Med Trop Mars. 1998; 58:3:297306.
    [Google Scholar]
  8. Walton J (ed). Disorders of Voluntary Muscle. Churchill Livingstone 1988: 606.
  9. Hansmann Y, Christmann D. Group A Streptococcus pyomyositis. Presse Med. 1998; 27:3:110112.
    [Google Scholar]
  10. McGee JO'D, Isaacson PG, Wright NA, (eds). Oxford Textbook of Pathology. Vol. 2b. Oxford University Press. 1992: 2101.
  11. Revelon G, Rahmouni A, Jazaerli N, Godeau B, Chosidow O, Authier J. Acute swelling of the limbs: magnetic resonance pictorial review of fascial and muscle signal changes. Eur J Radiol. 1999; 30:1:1121.
    [Google Scholar]
  12. Terra L, Pellicano S, Milano M. Tropical pyomyositis. A case report. Minerva Med. 1997; 88:12:533535.
    [Google Scholar]
  13. Cecil M, Dimar JR(2nd). Paraspinal pyomyositis, a rare cause of severe back pain: case report and review of literature. Am J Orthop. 1997; 26:11:785787.
    [Google Scholar]
  14. Liew KL, Choong CS, Liu PN, Tsai DH, Chen LH, Yang Wc. Pyomyositis in childhood: a case report. Chung Hua I Hsueh Tsa Chih Taipei. 1998; 61:8:488491.
    [Google Scholar]
  15. Wolfe MW, Bennett JT. Pyomyositis with toxic syndrome presenting as back pain and fever: A case report and literature review. Am J Orthop. 1997; 26:2:135137.
    [Google Scholar]
  16. Vassilopoulos D, Chalasani P, Jurado RL, Workowski K, Agudelo CA. Musculoskeletal infections in patients with human immunodeficiency virus infection. Medicine Baltimore. 1997; 76:4:284294.
    [Google Scholar]
  17. Shih JY, Hsueh PR, Chang YL, Lin SF, Teng LJ, Luh KT. Pyomyositis due to Mycobacterium haemophilum in a patient with polymyositis and long-term steroid use. Clin Infect Dis. 1998; 26:2:505507.
    [Google Scholar]
  18. Tsirantonaki M, Michael P, Koufos C. Pyomyositis. Clin Rheumatol. 1998; 17:4:333334.
    [Google Scholar]
  19. Matsuno O, Matsumoto T, Miyazyki E, Nakagawa H, Kumamoto T, Tsuda T. Pyomyositis associated with Bacteroides fragilis in a patient with multiple myeloma. Am J Trop Med Hyg. 1998; 59:1:4244.
    [Google Scholar]
  20. Wheeler DS, Vazquez WD, Vaux KK, Poss WB. Streptococcal pyomyositis: case report and review. Pediatr Emerg Care. 1998; 14:6:411412.
    [Google Scholar]
  21. Birgisson H, Kristensen H. Pyomyositis due to non-haemolytic streptococci. Scand J Infect Dis. 1998; 30:6:624626.
    [Google Scholar]
  22. Ejlertsen T, Dossing K. Pneumococcal pyomyositis secondary to pneumonia. Scand J Infect Dis. 1997; 29:5:520521.
    [Google Scholar]
  23. Isabel-Hidalgo F, Vazquez MT, Portilla E, Lopez-Anglada J, Saavedra R. Pyomyositis caused by Haemophilus influenzae in an immunocompetent adult. Enferm Infecc Microbiol Clin. 1997; 15:5:273274.
    [Google Scholar]
  24. Chusid MJ, Hill WC, Bevan JA, Sty JR. Proteus pyomyositis of the piriformis muscle in a swimmer. Clin Infect Dis. 1998; 26:1:194195.
    [Google Scholar]
  25. Patel SR, Olengiski TP, Perruquet JL, Harrington TM. Pyomyositis: clinical features and predisposing conditions. J Rheumatol. 1997; 24:9:17341738.
    [Google Scholar]
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