title: Oesophageal pyomyositis in an intravenous drug user.
abstract: An inflammatory or infectious disease of the oesophagus occurring in tissue layers beneath but sparing the mucosa may pose a diagnostic challenge. Bacterial pyomyositis has been previously reported occurring mostly in the skeletal muscle. Pyomyositis involving the gastrointestinal tract is extremely rare, and may easily be misdiagnosed due to its nonspecific clinical features. We report a case of an intravenous drug user who presented with oesophageal pyomyositis. Early computed tomography facilitated accurate diagnosis. Adequate drainage followed by antibiotic treatment was effective and the oesophagus was preserved. To the best of our knowledge, this is the first report of a case of oesophageal myositis in an intravenous drug user.
authors.affiliation: Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan Department of Thoracic Surgery, Chung Shan Medical University Hospital, Taichung, Taiwan.
authors.forename: Frank Cheau-Feng
authors.initials: FC
authors.lastname: Lin
authors.affiliation: Department of Medical Research, Tung's Taichung MetroHarbor Hospital, Taichung, Taiwan.
authors.forename: Kee-Ching
authors.initials: KC
authors.lastname: Jeng
authors.affiliation: Department of Medical Research, Tung's Taichung MetroHarbor Hospital, Taichung, Taiwan Department of Food and Nutrition, Providence University, Taichung, Taiwan tsaistella111@gmail.com.
authors.forename: Stella Chin-Shaw
authors.initials: SC
authors.lastname: Tsai
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004322:Drainage / Q000379:methods; D004926:Escherichia coli / Q000302:isolation & purification; D004927:Escherichia coli Infections / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D004935:Esophageal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D004947:Esophagus / Q000382:microbiology; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D052880:Pyomyositis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D015819:Substance Abuse, Intravenous / Q000150:complications*; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents
keywords: Oesophagus; Pyomyositis