Streptococcus agalactiae myositis in a child with perinatally acquired human immnodeficiency virus.
Pyomyositis is a musculoskeletal infection with formation of an intramuscular abscess. Endemic in tropical climates, it is being reported with increasing frequency in temperate climates such as the United States. The most common causative organism is Staphylococcus aureus, present in greater than 90% of reported cases. Risk factors include underlying chronic illness, malnutrition, immunocompromised state, and muscle trauma. We present a case in which Streptococcus agalactae was the causative agent of myositis in a child with a history of perinatally derived human immunodeficiency virus infection.
Hull
Rachel
R
Department of Pediatrics, University of Mississippi Medical Center, Jackson, MS 39216, USA.
Gay
Hannah
H
Giles
Henry
H
Nowicki
Michael
M
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis / Q000382:microbiology*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D002981:Clindamycin / Q000627:therapeutic use; D015658:HIV Infections / Q000276:immunology / Q000382:microbiology / Q000635:transmission*; D006801:Humans; D016867:Immunocompromised Host; D018445:Infectious Disease Transmission, Vertical; D008279:Magnetic Resonance Imaging; D008297:Male; D052880:Pyomyositis / Q000175:diagnosis* / Q000276:immunology; D013290:Streptococcal Infections / Q000188:drug therapy / Q000503:physiopathology*; D013292:Streptococcus agalactiae / Q000187:drug effects / Q000472:pathogenicity*
D000900:Anti-Bacterial Agents; D002981:Clindamycin