Introduction: Multifocal pyomyositis is a rare inflammatory myopathy caused by bacterial infection and abscess formation in multiple skeletal muscles. To date, electromyography (EMG) of pyomyositis has not been reported.
Methods: We describe the EMG findings of a patient with pathologically proven multifocal pyomyositis.
Results And Conclusions: Muscles affected by pyomyositis demonstrate EMG features similar to those of other inflammatory myopathies. Other features such as acute entrapment neuropathy may exist concomitantly due to nerve compression from muscle abscess formation.
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http://dx.doi.org/10.1002/mus.24449 | DOI Listing |
Cureus
September 2024
Internal Medicine, Centro Hospitalar e Universitário Cova da Beira, Covilhã, PRT.
Primary pyomyositis, also known as tropical pyomyositis, is a primary bacterial infection of skeletal muscle following hematogenous infections. It is primarily caused by or Group A and predominantly affects children and young adults. Although rarely observed in temperate climates, its prevalence appears to be increasing.
View Article and Find Full Text PDFJ Med Case Rep
July 2024
Department of Infectious Diseases, Inflammation Center, Helsinki University Hospital, Helsinki, Finland.
Background: Necrotizing myopathies and muscle necrosis can be caused by immune-mediated mechanisms, drugs, ischemia, and infections, and differential diagnosis may be challenging.
Case Presentation: We describe a case of diabetic myonecrosis complicated by pyomyositis and abscess caused by Escherichia coli. A white woman in her late forties was admitted to the hospital with a 1.
Cureus
February 2024
Internal Medicine, Hospital Sousa Martins, Unidade Local de Saúde Guarda, Guarda, PRT.
Pyomyositis is a bacterial infection deep within the muscles, often leading to multiple intramuscular abscesses. While historically linked with tropical regions, its incidence in temperate zones has been increasing, primarily due to factors such as immunosuppression. Typically, it manifests as a subacute infection, although when caused by Group C and resulting in toxic shock syndrome, it can lead to poorer outcomes.
View Article and Find Full Text PDFBMJ Case Rep
January 2024
Infectious Diseases, Austin Health, Heidelberg, Victoria, Australia.
We describe a case of a previously healthy unvaccinated man in his 70s who developed penicillin-susceptible bacteraemic invasive pneumococcal disease due to non-vaccine serotype 23B with the unusual manifestations of multifocal myositis, intramuscular abscesses, polyarticular septic arthritis and synovitis. Blood cultures drawn prior to antibiotic therapy and culture of iliopsoas collection were helpful in making the diagnosis. At follow-up, he had persistent hip pain attributed to avascular necrosis of the head of femur, a possible late complication of his pyomyositis.
View Article and Find Full Text PDFNeurol Sci
December 2023
Department of Medicine, Launceston General Hospital, 274-280 Charles Street, Launceston, TAS, 7250, Australia.
Background: The formation of abscesses with necrosis within large, striated muscles leads to pyomyositis, a condition relatively rarely encountered outside the tropics. Intravenous drug users and other immunocompromised individuals are predisposed toward this infection, which may occur due to local or haematogenous spread of infection to skeletal muscles previously damaged by trauma, exercise, or rhabdomyolysis.
Methods: We report a young male intravenous drug user with rhabdomyolysis due to use of a synthetic opioid, in whom disseminated pyomyositis was detected following evaluation for sciatic and radial neuropathies and Horner's syndrome and review available reports of peripheral nerve dysfunction in the setting of this uncommon infection.
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