title: Tropical pyomyositis in a Greek adult.
abstract: A case of tropical pyomyositis in a 24-year-old Greek is reported. The patient presented with high fever and swelling of the left thigh, generalized lymphadenopathy and multiple infiltrations in both lung fields on X-ray of the chest. Multifocal muscle abscesses were detected by CT scan of the left thigh and gluteal area. Staphylococcus aureus was identified in cultures of the purulent material which was surgically drained. The patient was subsequently treated with appropriate antibiotics. Lack of familiarity with this disease caused diagnostic confusion and delayed the initiation of treatment.
authors: First Department of Internal Medicine, University of Athens School of Medicine, Laikon General Hospital, Greece.
authors: J
authors: J
authors: Meletis
authors: X
authors: X
authors: Yataganas
authors: G
authors: G
authors: Vayopoulos
authors: K
authors: K
authors: Konstantopoulos
authors: D
authors: D
authors: Kyriakou
authors: F
authors: F
authors: Deligiannis
authors: P
authors: P
authors: Fessas
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004009:Dicloxacillin / Q000627:therapeutic use; D004338:Drug Combinations / Q000627:therapeutic use; D006115:Greece; D006801:Humans; D008297:Male; D009220:Myositis / Q000175:diagnosis* / Q000188:drug therapy; D010653:Phenylbutazone / Q000627:therapeutic use; D013203:Staphylococcal Infections / Q000175:diagnosis*; D013420:Sulfamethoxazole / Q000627:therapeutic use; D014295:Trimethoprim / Q000627:therapeutic use; D015662:Trimethoprim, Sulfamethoxazole Drug Combination
chemical_list: D004338:Drug Combinations; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D014295:Trimethoprim; D004009:Dicloxacillin; D010653:Phenylbutazone; D013420:Sulfamethoxazole