Cyclic neutropenia and pyomyositis: a rare cause of overwhelming sepsis.
Primary pyomyositis is a pyogenic infection of skeletal muscle with abscess formation, which traditionally lacks an identifiable cause. We present a case of pyomyositis for which a cause was established. This was largely due to the fact that the patient was young and fit, enabling him to survive such overwhelming sepsis long enough for cycling of his neutrophil count to become apparent. Having had multiple abscesses drained, he was successfully treated with granulocyte colony stimulating factor and has remained well since.
Waites
M D
MD
Department of Surgery, King's College Hospital, London, UK.
Roberts
J V
JV
Scott-Coombes
D
D
Al-Hamali
S
S
D058186:Acute Kidney Injury / Q000209:etiology; D000328:Adult; D004322:Drainage; D005260:Female; D005334:Fever / Q000209:etiology; D016179:Granulocyte Colony-Stimulating Factor / Q000627:therapeutic use; D006801:Humans; D007958:Leukocyte Count; D017114:Liver Failure, Acute / Q000209:etiology; D009220:Myositis / Q000150:complications*; D009503:Neutropenia / Q000150:complications*; D010507:Periodicity; D011552:Pseudomonas Infections / Q000150:complications / Q000188:drug therapy; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification; D016659:Psoas Abscess / Q000209:etiology* / Q000601:surgery; D018805:Sepsis / Q000188:drug therapy / Q000209:etiology*
D016179:Granulocyte Colony-Stimulating Factor