Osteomyelitis complicating pyomyositis in HIV disease.
Pyomyositis has previously been described in association with human immunodeficiency virus (HIV) and as a discrete entity in HIV seronegative patients from tropical climates (tropical pyomyositis). Pyomyositis and osteomyelitis are usually considered a late complication of advanced HIV disease. We describe a patient with well-controlled HIV and both types of musculoskeletal infection. The case highlights an unusual presentation, the utility of MRI in soft tissue infection and an excellent outcome from prolonged antimicrobial therapy following surgical debridement.
Buckland
Matthew S
MS
Department of Immunology, Imperial College, Hammersmith Campus, 10th Floor, Commonwealth Building, Du Cane Road, London W12 0NN, UK. m.buckland@imperial.ac.uk
Longhurst
Hilary J
HJ
Murphy
Maurice
M
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002574:Cervical Vertebrae; D003937:Diagnosis, Differential; D005436:Floxacillin / Q000627:therapeutic use; D015658:HIV Infections; D006801:Humans; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009220:Myositis / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology; D010019:Osteomyelitis / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology; D011859:Radiography; D013848:Thigh
D000900:Anti-Bacterial Agents; D005436:Floxacillin