Pyomyositis in a renal transplant patient with Kyrle's disease.
Pyomyositis, an endemic disease of tropical origin, is increasingly reported in temperate zones, especially in patients with diabetes mellitus and in the immunocompromised. A 28-year-old renal transplant recipient presented with perforating skin lesions (Kyrle's disease), thigh pain, and swelling associated with fever. A gallium scan of the thigh led to surgical exploration and a diagnosis of pyomyositis. To our knowledge, the association of Kyrle's disease with pyomyositis has not been reported before. The significance of this combination of conditions in our patient remains unexplained.
Habte-Gabr
E
E
Hurley Medical Center, Flint, Mich. 48503, USA.
Zayas
J A
JA
Rosenbaum
R W
RW
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000009:adverse effects / Q000627:therapeutic use; D007644:Darier Disease / Q000150:complications* / Q000382:microbiology; D003882:Dermatomyositis / Q000139:chemically induced / Q000150:complications* / Q000000981:diagnostic imaging; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects / Q000627:therapeutic use; D016030:Kidney Transplantation / Q000502:physiology*; D008297:Male; D010146:Pain / Q000000981:diagnostic imaging / Q000209:etiology; D011877:Radionuclide Imaging; D012871:Skin Diseases / Q000139:chemically induced / Q000382:microbiology / Q000473:pathology; D013256:Steroids; D013848:Thigh / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed
D000893:Anti-Inflammatory Agents; D007166:Immunosuppressive Agents; D013256:Steroids