Document Detail


Pneumoccocal Pyomyositis: Report of two cases and a review of the literature.
MedLine Citation:
PMID:  22523257     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Streptococcus pneumoniae is an uncommon cause of pyomyositis. It is unclear if the clinical presentation and outcome of pneumococcal pyomyositis differ depending on underlying host immune status. We report 2 patients with pneumococcal pyomyositis, review all published cases and compare patient characteristics in apparently normal and at-risk hosts.A total of 35 cases of pneumococcal pyomyositis were identified, 11 in apparently normal hosts and 24 in at-risk hosts. Two-thirds of the patients had an antecedent respiratory illness or meningitis. At-risk hosts tended to have a longer time interval between development of symptomatic muscle infection to diagnosis of pyomyositis and a significantly higher risk of disseminated disease at presentation, manifested by involvement of multiple non-contiguous muscles or presence of meningitis. Overall, other than 1 death, all other patients recovered with antibiotics and surgical drainage but as might be expected there was a significantly higher rate of complications in those at-risk.
Authors:
Rebecca J Zadroga; Dylan Zylla; Kelly Cawcutt; Daniel M Musher; Pankaj Gupta; Michael Kuskowski; Ayse Dincer; Anjum S Kaka
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-4-20
Journal Detail:
Title:  Clinical infectious diseases : an official publication of the Infectious Diseases Society of America     Volume:  -     ISSN:  1537-6591     ISO Abbreviation:  -     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-4-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9203213     Medline TA:  Clin Infect Dis     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Veteran's Affairs Medical Center, Minneapolis, MN, USA.
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