Tropical pyomyositis: Clinical and MR imaging characteristics

Tropical pyomyositis is an underdiagnosed condition. We reported a 35 year old male farmer, who presented with septicemia and acute respiratory distress syndrome due to pyomyositis involving the paraspinal muscles. Culture of the pus grew methicillin sensitive Staphylococcus aureus, and the patient recovered after surgical drainage and antibiotic treatment. Diagnostic delays can be avoided if tropical pyomyositis is considered as a differential diagnosis in patients with septicemia.

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Tropical pyomyositis presenting as sepsis with acute respiratory distress syndrome

Siddalingana

Hande

Stanley

et al. 2011

Asian Pacific Journal of Tropical Medicine

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Tropical Pyomyositis in Children: 10 Years Experience of a Tertiary Care Hospital in Northern India

Verma

Singhi

Marwaha

et al. 2013

Journal of Tropical Pediatrics

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Tropical pyomyositis (TP) is characterized by suppuration within skeletal muscles, manifesting as single or multiple abscesses. It has been reported frequently from Africa and Latin America. However, there are only a few cases reported in children from India. Between January 2002 and December 2011, 40 children with TP were admitted to our hospital, and their retrospective review formed the study material. TP is not an uncommon disease in children in Northern India, especially during rainy seasons. Most of the patients were admitted with short history of fever, pain and localized swelling. Pus drainage was done in 87.5% cases, with the amount of pus varying from 5 to 2000 ml. The pus grew methicillin-sensitive Staphylococcus aureus (MSSA) in 42.5% cases, whereas initial blood cultures were sterile. All received antibiotics along with surgical drainage, and recovered. It is important for health professionals to have a high index of suspicion and familiarity with this imminently treatable disease entity.

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Tropical pyomyositis: Clinical and MR imaging characteristics

Cited by 2 publications

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Tropical pyomyositis presenting as sepsis with acute respiratory distress syndrome

Tropical pyomyositis presenting as sepsis with acute respiratory distress syndrome

Tropical Pyomyositis in Children: 10 Years Experience of a Tertiary Care Hospital in Northern India

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