Introduction: Pyomyositis, or isolated abscess formation within a skeletal muscle, is a relatively common condition in tropical climates but it is only encountered rarely in temperate zones.
Case Presentation: We present a case of non-tropical pyomyositis of the gluteal muscle in a 26-year-old, previously healthy man from the United Kingdom, who initially presented with sciatica-like symptoms which began 3 days after a mosquito bite on his nose, which had become infected and discharged pus.
Conclusion: Gluteal pyomyositis involving the sciatic nerve may initially present as radiculopathy. Mosquito bites may have been the source of transient bacteraemia that contributed to muscle suppuration in this patient. This may explain, at least in part, the increased incidence of pyomyositis in healthy individuals living in tropical regions.
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http://dx.doi.org/10.1186/1752-1947-2-204 | DOI Listing |
WMJ
September 2024
Division of Acute Care and Regional Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Introduction: Tropical myositis - also known as pyomyositis - is a subacute, primary infection of skeletal muscle. Long considered a diagnosis exclusive to tropical climates, recently it has been reported increasingly in historically nontropical climates. We present a case of tropical myositis in Madison, Wisconsin, occurring in a febrile type 1 diabetic patient without travel or known exposure.
View Article and Find Full Text PDFCureus
November 2023
Internal Medicine, ULSAM - Hospital de Santa Luzia, Viana do Castelo, PRT.
Pyomyositis is a rare bacterial infection of the skeletal muscle that often presents with insidious symptoms, thus making the diagnosis challenging. It is categorized into primary and secondary (usually traumatic) variants, mainly occurring in tropical regions and occasionally in temperate climates, with predisposing factors including immunosuppression. Staphylococcus aureus is the most common pathogen.
View Article and Find Full Text PDFTrop Doct
April 2024
Professor, Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Nehru Hospital, Chandigarh, India.
Recent data have demonstrated the changing epidemiology of primary pyomyositis worldwide. Our hospital-based retrospective study investigated the clinical and microbiological spectrum of primary pyomyositis between 2013 and 2021 in PGIMER (Chandigarh), India. Over a quarter had predisposing conditions, mainly diabetes mellitus and immunosuppressive therapy.
View Article and Find Full Text PDFWorld J Clin Cases
September 2023
Department of Thoracic Surgery, Qingdao Hiser Hospital Affiliated to Qingdao University, Qingdao 266000, Shandong Province, China.
Background: Pyomyositis generally occurs in otherwise healthy young men. Because this condition is unusual among otherwise healthy women in temperate climates, we present the following case.
Case Summary: An otherwise healthy 43-year-old woman presented with bilateral pain in her lower extremities and fever.
Rev Esp Quimioter
December 2021
María Isabel Sánchez-Códez, Departamento de Pediatría, Unidad de Infectología Pediátrica. Hospital Universitario Puerta del Mar, Cádiz, Spain.
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