title: Tropical pyomyositis in a patient with systemic lupus erythematosus and HTLV 1/2 infection.
abstract: Tropical pyomyositis (TP) is an unusual infectious disease of skeletal muscles, caused by bacteria, and often associated with immunodeficiency conditions. The involvement of deep pelvic muscles, such as the iliac muscle, is even rarer. The association of systemic lupus erythematosus (SLE) and PT is seldom reported in the literature. Because SLE involves a state of immunosuppression resulting from both the disease itself and its medicamentous treatment, SLE patients are at higher risk for developing infections, such as PT. Infection by HTLV 1/2 is increasingly identified and associated with autoimmune diseases, such as SLE. This is a case report of PT in the pelvic muscles of a female patient with SLE, chronic kidney failure, on hemodialysis, and HTLV1/2 infection, admitted to the Hospital Heliópolis, in the city of São Paulo, Brazil.
authors.affiliation: Medical resident at the Service of Rheumatology of the Hospital Heliopolis - Medical Residency. hericabarra@yahoo.com.br
authors.forename: Hérica Cristiani Barra de
authors.initials: HC
authors.lastname: Souza
authors.forename: Barbara Nascimento de
authors.initials: BN
authors.lastname: Carvalho
authors.forename: Marina Gonçalves Veras de
authors.initials: MG
authors.lastname: Morais
authors.forename: Guilherme Zager
authors.initials: GZ
authors.lastname: Monteiro
authors.forename: Fabiano Takaaki
authors.initials: FT
authors.lastname: Emori
authors.forename: Luiz Carlos
authors.initials: LC
authors.lastname: Latorre
mesh_terms: D000328:Adult; D005260:Female; D015490:HTLV-I Infections / Q000209:etiology*; D015491:HTLV-II Infections / Q000209:etiology*; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D052880:Pyomyositis / Q000821:virology*