[Methicillin-resistant Staphylococcus aureus-induced pyomyositis that emerged during recovery from drug-induced pancytopenia].
Pyomyositis is a purulent infection of skeletal muscle characterized by fever, localized muscle pain and stiffness, swelling and tenderness. Hematological disorder is one of the predisposing conditions for the development of pyomyositis. A 54-year-old man developed methicillin-resistant Staphylococcus aureus pyomyositis during drug-induced pancytopenia. Debridement of the infection foci combined with antimicrobial agents proved effective even in the advanced stage of the disease. In patients with hematological disorders, pyomyositis should be considered when evaluating local myalgia and high fever because this disease can be very difficult to identify and can become rapidly progressive under a myelosuppressive condition.
Kobayashi
Shinichi
S
Division of Hematology, Department of Internal Medicine, National Defense Medical College.
Kimura
Fumihiko
F
Ogura
Kazuto
K
Kobayashi
Ayako
A
Torikai
Hiroki
H
Ikeda
Takashi
T
Sato
Ken
K
Saionji
Katsu
K
Ito
Teruyo
T
Saito
Daizo
D
Motoyoshi
Kazuo
K
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D016106:Methicillin Resistance; D008875:Middle Aged; D010198:Pancytopenia / Q000139:chemically induced* / Q000150:complications*; D052880:Pyomyositis / Q000209:etiology / Q000382:microbiology* / Q000628:therapy; D012307:Risk Factors; D013203:Staphylococcal Infections; D013211:Staphylococcus aureus; D016896:Treatment Outcome; D014640:Vancomycin / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D014640:Vancomycin