Tropical pyomyositis in a case of rheumatoid arthritis.
Tropical pyomyositis is very rarely associated with rheumatoid arthritis. We report tropical pyomyositis involving gastrocnemius muscle in both the legs with eosinophilia and elevated serum IgG and IgE levels in a case of rheumatoid arthritis. We suggest that the possibility of pyomyositis should be considered in all cases of rheumatoid arthritis presenting with muscle pain, fever and leucocytosis.
Department of Medicine, Himalayan Institute of Medical Sciences, Swami Rama Nagar, Dehradun 248140, Uttaranchal, India. rmkaushik1@rediffmail.com
Rajeev M
RM
Kaushik
Reshma
R
Kaushik
Anita
A
Sharma
Sukhdev K
SK
Mahajan
D001172:Arthritis, Rheumatoid / Q000097:blood / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D007074:Immunoglobulin G / Q000097:blood; D007075:Immunoglobulin M / Q000097:blood; D007866:Leg; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000382:microbiology; D052880:Pyomyositis / Q000097:blood / Q000150:complications* / Q000188:drug therapy; D016896:Treatment Outcome
D007074:Immunoglobulin G; D007075:Immunoglobulin M