Document Detail

Pyomyositis in North America: case reports and review.
MedLine Citation:
PMID:  1420680     Owner:  NLM     Status:  MEDLINE    
We report two cases and review the characteristics of pyomyositis. The courses of patients who presented with pyomyositis at the Maricopa Medical Center (Phoenix) are detailed. Ninety-eight reported cases over the last 20 years in North America, found through a MEDLINE search, are summarized. Infection with the human immunodeficiency virus (HIV) may predispose the patient to pyomyositis. The onset is usually insidious with progression to large purulent collections and significant morbidity. The diagnosis is frequently suggested by findings of imaging studies. Staphylococcus aureus is responsible for most cases in tropical areas but is less frequently associated with cases in North America. Since infection with HIV predisposes patients to bacterial infections, pyomyositis will occur more frequently in this patient population. Increased awareness of the disease will improve management. Following aspiration or surgical drainage, therapy with broad-spectrum empirical antibiotics may be considered initially in the treatment of pyomyositis.
L Christin; G A Sarosi
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Clinical infectious diseases : an official publication of the Infectious Diseases Society of America     Volume:  15     ISSN:  1058-4838     ISO Abbreviation:  Clin. Infect. Dis.     Publication Date:  1992 Oct 
Date Detail:
Created Date:  1992-11-27     Completed Date:  1992-11-27     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9203213     Medline TA:  Clin Infect Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  668-77     Citation Subset:  IM; X    
Department of Internal Medicine, Maricopa Medical Center, Phoenix, Arizona 85010-5099.
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MeSH Terms
AIDS-Related Opportunistic Infections / diagnosis,  radiography,  therapy
Myositis / diagnosis*,  radiography,  therapy
North America
Staphylococcal Infections / diagnosis*,  radiography,  therapy
Staphylococcus aureus / isolation & purification
Streptococcal Infections / diagnosis*,  therapy
Streptococcus pyogenes / isolation & purification

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