Two cases of tropical pyomyositis of the sternocleidomastoid muscle occurring in the UK

Collier, Steven R.; Vig, Navin; Collier, Jonathan

doi:10.1016/j.bjoms.2009.10.028

Cited by 15 publications

(6 citation statements)

References 6 publications

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“…CT and MRI commonly confirmed the US results and showed one or more collections with or without adjacent muscular swelling, stranding of subcutaneous fat and skin thickening; this was true in all but four cases 14 18 21 25. Of these cases, 13.0% were invasive (n=3),14 18 21 78.3% were suppurative (n=18)4–10 12 13 15 17 19 20 22–25 and 8.7% were late stage PM (n=2) 11 16. At least 47.8% (n=11/23) met the criteria for sepsis,4 5 11 15 16 19 21 22 24 25 and bacteraemia was evident in 7 of 13 documented blood culture results 5 6 16 17 21 22 24…”

Section: Discussionsupporting

confidence: 59%

Pyomyositis in a patient with systemic lupus erythaematosus and a review of the literature

Meesiri

2016

BMJ Case Reports

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Pyomyositis (PM) is a common masquerading disease that is frequently misdiagnosed. A concurrent state of immunodeficiency is observed in up to 75% of tropical PM cases. PM in systemic lupus erythaematosus (SLE) is a relatively rare disease. I report a case of PM that was caused byKlebsiella pneumoniaein a patient with SLE who presented with leg pain, fever and a lupus flare-up. The patient was correctly diagnosed using a CT scan. Immediate surgical drainage was performed, and empirical antibiotics were administered. The patient was discharged while in a recovering condition. The clinical features, the results of radiographic investigations and the management of PM in SLE are synopsised in this article to underscore the importance of considering this relatively rare disease during differential diagnosis in patients with SLE with muscle pain with or without fever. I also emphasise the need to exclude mycobacterial infection in patients with SLE with PM.

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Section: Discussionsupporting

confidence: 59%

Pyomyositis in a patient with systemic lupus erythaematosus and a review of the literature

Meesiri

2016

BMJ Case Reports

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“…Timely diagnosis of pyomyositis in patients with SLE is challenging not only because of its non-specific features but also due to its mimicry of SLE ﬂare-up and inﬂammatory myositis. Chest wall involvement is an uncommon condition and has been identiﬁed in only one of 25 reported SLE cases with pyomyositis in the available literature 7–31. Here, we have reported on a case of SLE with a large extent of chest wall pyomyositis, where the patient fully recovered after surgical intervention and antibiotic treatment.…”

Section: Introductionmentioning

confidence: 78%

Severe thoracic pyomyositis in a patient with systemic lupus erythematosus

et al. 2022

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Pyomyositis may mimic deep vein thrombosis and be misdiagnosed in patients with systemic lupus erythematosus (SLE). We report here on patient with SLE with severe thoracic pyomyositis presented with right upper arm swelling and fever. The patient fully recovered after a serial surgical debridement and antibiotic therapy. Pyomyositis, as well as deep vein thrombosis, should be considered during the differential diagnosis of patients with SLE experiencing fever and unilateral limb oedema. CT and identification of causal pathogens are crucial in the diagnosis of pyomyositis. Early effective antibiotic treatment as well as surgical intervention can together bring about a better outcome.

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“…Pyomyositis most commonly affects the extremities but there are some limited, previously reported cases of pyomyositis involving the neck 1 3. These cases are mostly caused by Staphylococcus aureus bacterial infections2 4 but there have been isolated reported cases of other causative agents including group A streptococcus and Klebsiella pneumoniae 1.…”

Section: Discussionmentioning

confidence: 99%

“…These cases are mostly caused by Staphylococcus aureus bacterial infections2 4 but there have been isolated reported cases of other causative agents including group A streptococcus and Klebsiella pneumoniae 1. Pyomyositis is mostly seen in immunocompromised patients or those with significant comorbidities 3 4. Historically, pyomyositis was mostly seen in the tropics and only seen in temperate regions in patients who were immunocompromised.…”

Section: Discussionmentioning

confidence: 99%

Isolated left sternocleidomastoid pyomyositis: a rare presentation of cervical sepsis

Fraser,

Thompson,

Yeo

2024

BMJ Case Rep

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An elderly gentleman self-presented to A+E with a 7-day history of significant and progressive left-sided neck pain, swelling and fevers, despite oral antibiotics from his general practitioner. Examination revealed a large left-sided neck mass involving levels 2–5 of the neck that was firm to palpate, with erythematous overlying skin.An urgent CT scan demonstrated a large collection throughout the length of the left sternocleidomastoid muscle (SCM), measuring 13×5.5×4 cm, with extensive adjacent inflammatory change. He was subsequently taken to theatre for washout and debridement, during which the collection was found to be loculated and isolated to the SCM, with surrounding structures spared.Postoperatively, he was managed with intravenous fluids and a total of 2 weeks of intravenous antibiotics. The wound partially dehisced during healing and the cavity was packed with flaminal and regularly dressed with input from the tissue viability team. This was then left to heal by secondary intention and the patient was followed up in clinic over the following weeks to ensure resolution.

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Two cases of tropical pyomyositis of the sternocleidomastoid muscle occurring in the UK

Cited by 15 publications

References 6 publications

Pyomyositis in a patient with systemic lupus erythaematosus and a review of the literature

Pyomyositis in a patient with systemic lupus erythaematosus and a review of the literature

Severe thoracic pyomyositis in a patient with systemic lupus erythematosus

Isolated left sternocleidomastoid pyomyositis: a rare presentation of cervical sepsis

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