[Pyomyositis in Italy: report of a clinical case].
Pyomyositis is an infection of the striated muscle seen frequently in Africa but rarely in Western countries with a temperate climate. Over the last few years it has been observed with increasing frequency, especially in immunocompromised hosts. An unusual case of pyomyositis in a 65-year-old immunocompetent woman is described. The disease emerged during septicemia caused by Staphylococcus aureus. It was associated with pleuropneumonia and affected two different and opposite groups of muscles. Diabetes mellitus, a known predisposing factor, was diagnosed during the infection. The diagnosis of pyomyositis was based on microbiological cultures, computed tomography, and radio-labelled granulocyte scintigraphy. Follow-up until recovery was based on computed tomography. Surgical drainage of abscesses was avoided thanks to early diagnosis and specific antibiotic therapy.
Auletta
M
M
Cattedra di Medicina Interna, Facoltà di Medicina e Chirurgia, Università degli Studi Federico II di Napoli.
Antoniello
S
S
Pardo
F
F
Radice
L
L
D000368:Aged; D005260:Female; D006801:Humans; D007558:Italy; D009220:Myositis / Q000150:complications