title: Tropical pyomyositis in children: 10 years experience of a tertiary care hospital in northern India.
abstract: Tropical pyomyositis (TP) is characterized by suppuration within skeletal muscles, manifesting as single or multiple abscesses. It has been reported frequently from Africa and Latin America. However, there are only a few cases reported in children from India. Between January 2002 and December 2011, 40 children with TP were admitted to our hospital, and their retrospective review formed the study material. TP is not an uncommon disease in children in Northern India, especially during rainy seasons. Most of the patients were admitted with short history of fever, pain and localized swelling. Pus drainage was done in 87.5% cases, with the amount of pus varying from 5 to 2000 ml. The pus grew methicillin-sensitive Staphylococcus aureus (MSSA) in 42.5% cases, whereas initial blood cultures were sterile. All received antibiotics along with surgical drainage, and recovered. It is important for health professionals to have a high index of suspicion and familiarity with this imminently treatable disease entity.
authors: Department of Pediatrics, Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India. sanjay06verma@yahoo.com
authors: Sanjay
authors: S
authors: Verma
authors: Sunit C
authors: SC
authors: Singhi
authors: R K
authors: RK
authors: Marwaha
authors: Pratibha
authors: P
authors: Singhi
authors: Surjit
authors: S
authors: Singh
authors: Meenu
authors: M
authors: Singh
mesh_terms: D000038:Abscess; D000740:Anemia / Q000209:etiology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D007194:India; D007223:Infant; D008297:Male; D018482:Muscle, Skeletal; D009135:Muscular Diseases / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D052880:Pyomyositis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D012189:Retrospective Studies; D017678:Sex Distribution; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D013211:Staphylococcus aureus / Q000302:isolation & purification*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents