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2004, Number 6

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Gac Med Mex 2004; 140 (6)

Tropical pyomyositis; Report of 118 cases

Uribe-Flores JD, Hernández-Jácome M

Language: Spanish
References: 16
Page: 607-610
PDF size: 449.93 Kb.


ABSTRACT

Objective: tropical pyomyositis, a bacterial muscular infection, has been reported frequently from tropical and subtropical zones. However, there are only a few reports from Mexico.
Materialsand methods: we present a prospective study of tropical pyomyositis cases in three secondary-and tertiarycare hospitals in Veracruz, Mexico between August 1985 and December 2000.
Results: tropical pyomyositis was more common in young adults, male-to-female ratio being 2.2:1. Principal features were muscle pains, fluctuanct muscular mass, and fever. Tropical pyomyositis was associated with recent muscular trauma and/or pyodermitis in 67% of cases. 60% of admissions presented invasive clinical stage of the disease, and fewer of 20% of cases presented multiple muscular involvement. Staphylococcus aureus was the most common etiologic agent. Most frequent complications were pleuropulmonaries. Only one patient, who had septicemia and multiple organ failure, died.
Conclusions: tropical pyomyositis is rare in healthy individuals and requires high clinical suspicion. Prognosis is generally favorable after surgical drainage and adequate antimicrobial therapy.


REFERENCES

  1. Brown JD, Wheeler B. Pyomyositis. Arch Intern Med 1984;144:1749.

  2. Kallen P. Tropical pyomyositis. Arthritis Rheum 1982;25:207.

  3. Patel SR, Oleginski TP, Perrugquet JL, Harrington TM. Pyomyositis: clinical features and predisposing conditions. J Rheumatol 1997;24:1734.

  4. Horn CV, Masters S. Pyomyositis tropicans in Uganda. East Afr Med J 1968;45:463.

  5. Chiedozi LC. Pyomyositis. Review of 205 cases in 112 patients. Am J Surg 1979;137:255.

  6. Hall RL, Callaghan JJ, Moloney E, Martínez S, Harrelson JM. Pyomyositis in a temperate climate: presentation, diagnosis and treatment. J Bone Joint Surg Am 1990;72:1240.

  7. Christin L, Sarosi GA. Pyomyositis in North America: case reports and review. Clin Infect Dis 1992;15:668.

  8. Garza CJG. Garza EMA. Piomiositis: presentación de un caso y revisión de la literatura. Rev Invest Clin 1986;38:307.

  9. Rangel FS. Tromboflebitis como manifestación de piomiositis múltiple. Rev Med IMSS 1987;25:431.

  10. Uribe FJD, Flores SA. Piomiositis tropical. Informe de 25 casos. Rev Med IMSS 1989;27(5):365.

  11. Martínez de Jesús FR, Mendiola SI. Clinical stage, age and treatment in tropical pyomyositis: a retrospective study including forty cases. Arch Med Res 1996;27(1):1.

  12. Shepherd JJ. Tropical myositis: is it an entity and what is its cause? Lancet 1983;II:1240.

  13. Fam G, Rubenstein J, Saibh F. Pyomyositis: early detection and treatment. J Rheumatol 1993;20:521.

  14. Saissy JM, Ducourau JP, Tchoua R, Diatta B. Tropical myositis. Med Trop 1998;58(3):297.

  15. Malhotra P, Singh S, Sud A, Kumari A. Tropical pyomyositis: experience of a tertiary care hospital in north-west India. J Assoc Physicians India 2000;48(11):1057.

  16. Romeo S, Sunshine S. Pyomyositis in a 5-year-old child. Arch Fam Med 2000;9:653.




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