title: [A case of multiple pyomyositis after chemotherapy for lung cancer].
abstract: We here describe a case of multiple pyomyositis in a 62-year-old man who had systemic chemotherapy for recurrent lung cancer. His initial symptoms consisted of fever and general fatigue, followed by progressive pain and swelling in his extremities, which mimicked deep venous thrombosis along with bacterial infection. He was admitted to the hospital for intravenous administration of antibiotics. MRI appeared very useful to find the intramuscular fluid collections with circumferential inflammatory changes, which confirmed diagnosis of the multiple pyomyositis. Surgical drainage as well as intravenous administration of antibiotics worked very well and improved clinical symptoms in a few weeks after the treatments. He could resume normal activities with minimum functional impairments in the extremities. Pyomyositis should be kept in mind as one of the adverse effects after chemotherapy for malignant tumors.
authors.affiliation: Dept. of Orthopedic Surgery, Aichi Cancer Center Hospital.
authors.forename: Kenji
authors.initials: K
authors.lastname: Yamada
authors.forename: Junji
authors.initials: J
authors.lastname: Wasa
authors.forename: Hideshi
authors.initials: H
authors.lastname: Sugiura
authors.forename: Yoshitsugu
authors.initials: Y
authors.lastname: Horio
mesh_terms: D000230:Adenocarcinoma / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D018943:Anthracyclines / Q000008:administration & dosage; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000009:adverse effects / Q000627:therapeutic use*; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009220:Myositis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D009503:Neutropenia / Q000139:chemically induced / Q000150:complications; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013492:Suppuration; D014747:Vinblastine / Q000008:administration & dosage / Q000031:analogs & derivatives; D000077235:Vinorelbine
chemical_list: D018943:Anthracyclines; D014747:Vinblastine; C055866:amrubicin; D000077235:Vinorelbine