Pyomyositis Associated with Bacillary Angiomatosis in a Patient with HIV Infection

Husain, Shahid; Singh, Nina

doi:10.1007/s15010-001-2041-6

Cited by 14 publications

(5 citation statements)

References 27 publications

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“…Delay in seeking and getting proper medical care and the vague nature of the disease itself, makes its early diagnosis very difficult in our set up and patient most of the time presents with complication like osteomyelitis. 19 In our study male patients were (57.82%) more than females (42.18%)…”

Section: Discussionsupporting

confidence: 45%

Pyomyositis; Frequency and Its Common Bacteria With Their Antibiotic Sensitivity Among Children With Highly Suspected Clinical Features

Khan

Iqbal

et al. 2017

TPMJ

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Section: Discussionsupporting

confidence: 45%

Pyomyositis; Frequency and Its Common Bacteria With Their Antibiotic Sensitivity Among Children With Highly Suspected Clinical Features

Khan

Iqbal

et al. 2017

TPMJ

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“…), Bartonella spp. (103,256), and Mycobacterium spp. (e.g., M. tuberculosis, M. avium complex) (131,173,211,251).…”

Section: Pyomyositismentioning

confidence: 99%

Bacterial, Fungal, Parasitic, and Viral Myositis

2008

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SUMMARY Infectious myositis may be caused by a broad range of bacterial, fungal, parasitic, and viral agents. Infectious myositis is overall uncommon given the relative resistance of the musculature to infection. For example, inciting events, including trauma, surgery, or the presence of foreign bodies or devitalized tissue, are often present in cases of bacterial myositis. Bacterial causes are categorized by clinical presentation, anatomic location, and causative organisms into the categories of pyomyositis, psoas abscess, Staphylococcus aureus myositis, group A streptococcal necrotizing myositis, group B streptococcal myositis, clostridial gas gangrene, and nonclostridial myositis. Fungal myositis is rare and usually occurs among immunocompromised hosts. Parasitic myositis is most commonly a result of trichinosis or cystericercosis, but other protozoa or helminths may be involved. A parasitic cause of myositis is suggested by the travel history and presence of eosinophilia. Viruses may cause diffuse muscle involvement with clinical manifestations, such as benign acute myositis (most commonly due to influenza virus), pleurodynia (coxsackievirus B), acute rhabdomyolysis, or an immune-mediated polymyositis. The diagnosis of myositis is suggested by the clinical picture and radiologic imaging, and the etiologic agent is confirmed by microbiologic or serologic testing. Therapy is based on the clinical presentation and the underlying pathogen.

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“…The causative pathogens implicated in this disease are Bartonella quintana and B henselae (formerly classified as Rochalimaea quintana and R henselae) (7,(22)(23)(24)(25)(26)(27). In our experience, bacillary angiomatosis is uncommon compared with staphylococcal osteomyelitis.…”

Section: Osteomyelitismentioning

confidence: 79%

“…Pathologic analysis with Warthin-Starry stain of a biopsy sample of the lesion will demonstrate characteristic pleomorphic bacillary organisms (22). In a recent case report, pyomyositis was shown to be the sole manifestation without osseous or cutaneous findings (27).…”

Section: Osteomyelitismentioning

confidence: 98%

Imaging Findings in Musculoskeletal Complications of AIDS

Restrepo¹,

Lemos²,

Gordillo³

et al. 2004

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Patients with human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS) are susceptible to a variety of complications that can affect the musculoskeletal system. These complications can be infectious, inflammatory, or neoplastic or can take some other form. Infection (cellulitis, necrotizing fasciitis, soft-tissue abscess, pyomyositis, osteomyelitis, septic arthritis) is the most common complication. Inflammatory processes include various arthritides as well as polymyositis. Non-Hodgkin lymphoma and Kaposi sarcoma are the two most common neoplasms in this patient population. Miscellaneous disorders include osteonecrosis, osteoporosis, rhabdomyolysis, anemia-related abnormal bone marrow, and hypertrophic osteoarthropathy. The underlying mechanisms leading to these diseases are complex and not fully understood but are thought to be multifactorial. Radiology may play an important role in early diagnosis and treatment planning in this population, in whom clinical and laboratory findings are commonly equivocal and nonspecific. Although biopsy is often necessary for the final diagnosis, it is important for the radiologist to be familiar with the different types of musculoskeletal disease in HIV-positive and AIDS patients so that an appropriate differential diagnosis can be established.

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Pyomyositis Associated with Bacillary Angiomatosis in a Patient with HIV Infection

Cited by 14 publications

References 27 publications

Pyomyositis; Frequency and Its Common Bacteria With Their Antibiotic Sensitivity Among Children With Highly Suspected Clinical Features

Pyomyositis; Frequency and Its Common Bacteria With Their Antibiotic Sensitivity Among Children With Highly Suspected Clinical Features

Bacterial, Fungal, Parasitic, and Viral Myositis

Imaging Findings in Musculoskeletal Complications of AIDS

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