title: Tropical pyomyositis presenting in the upper extremity.
abstract: Tropical pyomyositis is a staphylococcal infection, usually of a single large muscle, most commonly seen in young men in tropical regions. The following presents a case of tropical pyomyositis in a 62-year-old man that affected all four extremities, including the muscles of the forearms. Computed tomography was a useful guide for directing surgical explorations. To decrease the degree of disability from the multiple operative sites, we successfully used limited longitudinal incisions and conservative débridements.
authors.affiliation: Department of Surgery, Brigham and Women's Hospital, Boston, Mass, USA.
authors.forename: B M
authors.initials: BM
authors.lastname: Michaels
authors.forename: D P
authors.initials: DP
authors.lastname: Orgill
authors.forename: A A
authors.initials: AA
authors.lastname: Santos
mesh_terms: D001132:Arm; D006801:Humans; D007866:Leg; D008297:Male; D008875:Middle Aged; D009220:Myositis / Q000382:microbiology*; D013203:Staphylococcal Infections; D013492:Suppuration; D014329:Tropical Climate