Pyomiositis and hematogenous spondylodiscitis in an immunocompetent patient
DOI:
https://doi.org/10.51481/amc.v58i4.943Keywords:
Pyomyositis, spondylodiscitisAbstract
Pyomyositis is a primary bacterial infection of skeletal muscle. Formerly, it was a disease present only increased incidence in non-tropical climates mainly in immunocompromised patients. This condition may be related to bacteremia and therefore to the appearance of infectious sites through hematogenous dissemination. A case of spondylodiscitis, due to bacteremia from an iliopsoas muscle pyomyositis, is reported. The patient consulted initially for severe low back pain and an abscess in the iliopsoas muscle was diagnosed and percutaneous drainage was required. Few days later, the patient suffered flaccid paralysis of both lower limbs and spinal cord compression was suspected. The spinal tomography scan showed spinal cord compression at C5-C6 level due to spondylodiscitiswhichrequired surgical treatment and drainage. A culture positive for Staphylococcus aureus was also isolated from the area. This case shows hematogenous dissemination of bacterial pyomyositis with spinal compromise and cord compression in an immunocompetent patient.
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References
Bickels J, Ben-Sira L, Kessler A, Wientroub S. Primary pyomyositis. J Bone Joint Surg 2002; 84 A: 2277-2286.
Patel SR, Olenginski TP, Perruquet JL, Harrington TM. Pyomyositis: clinical features and predisposing conditions. J Rheumatol1997; 24:1734-1738.
Jacobsen KH, Fleming LC, Ribeiro PS. Pyomyositis in Amazonian Ecuador. Trans R Soc Trop Med Hyg 2010; 104: 438-439.
Scriba J. Beitragzuraetiologie der myositisacuta. Deutsche Zeitschrift für Chirurgie 1885; 22:497-502.
Marshman LA, Bhatia CK, Krishna M. Primary erector spinae pyomyositis causing an epidural abscess: case report and literature review. Spine J 2008;8:548-551.
Levin MJ, Gardner P, Waldvogel FA. Tropical pyomyositis. N Engl J Med 1971;284:196-198.
Horn CV, Masters S. Pyomyositis tropicans in Uganda. East Afr Med J 1968:463-471.
Kerrigan KR, Nelson SJ. Tropical pyomyositis in eastern Ecuador. Trans R Soc Trop Med Hyg 1992; 86:90-1.
Kitara DL, Bwangamoi P, O Wabinga H, Odida M. High prevalence of malnutrition among the above thirteen with primary pyomyositis in Northern Uganda. Br J Med Med Res 2015; 6: 814-822.
Christin L, Sarosi GA. Pyomyositis in North America: case reports and review. Clin lnfect Dis 1992; 15:668-677.
Gibson RK, Rosenthal SJ, Kuker BP. Pyomyositis. Increasing recognition in temperate climates. Am J Med 1984; 77:768-772.
Chiedozi LC. Pyomyositis: review of 205 cases in 112 patients. Am J Surg1979; 137:255-259.
Gomez-Reino JJ, Aznar JJ, Pablos JL, Diaz-Gonzalez F, Laffon A. Nontropical pyomyositis in adults. Semin Arthritis Rheum 1994; 23: 396-405.
Ashken MH, Cotton RE. Tropical skeletal muscle abscesses (pyomyositis tropicans).Br J Surg 1963; 50:846-52.
Burdette SD, Watkins RR, Wong KK. Staphylococcus aureus pyomyositis compared with non-Staphylococcus aureus pyomyositis; J Infect. 2012; 64: 507-512.
Gyssens IC, Timmermans UM. Tropical pyomyositis. Neth J Med 1989; 34: 205-209.
Mondal S, Goswami RP, Sinha D, Ghosh A. Pyomyositis: imaging spectrum. Ind J Rheum 2015; 10:102-103.
González-Márquez R, Morato M, Suárez-Nieto C. Sternocleidomastoid pyomyositis in an immunocompetent patient. Acta Otorrinolaringol Esp 2014;65:202-204.
Shepherd JJ. Tropical myositis: is it an entity and what is its cause? Lancet 1983; 2: 1240-1242.
Gomez-Reino JJ, Aznar JJ, Pablos J, Diaz-Gonzalez F y Laffon A. Nontropical pyomyositis in adults. Semin Arthritis Rheum 1994;23:396-405.
Mootsikapun P, Mahakkanukrauh A, Suwannaroj S, Nanagara R. Tuberculous pyomyositis. J Med Assoc Thai 2003;86:477-81.
Minami K, Sakiyama M, Suzuki H, Yoshikawa N. Pyomyositis of the vastus medialis muscle associated with Salmonella enteritidis in a child. Pediatr Radiol 2003;33:492-4.
Brook I. Pyomyositis in children, caused by anaerobic bacteria. J Pediatr Surg 1996; 31:394-6.
Wolf RF, Konings JG, Prins TR, Weits J. Fusobacterium pyomyositis of the shoulder after tonsillitis. Report of a case of Lemierre's syndrome. Acta Orthop Scand 1991;62:595-6.
Pretorius ES, Hruban RH, Fishman EK. Tropical pyomyositis: imaging findings and a review of the literature. Skeletal Radiol 1996;25:576-579.
Turecki MB, Taljanovic MS, Stubbs AY, Graham AR, Holden DA, Hunter TB, et al. Imaging of musculoskeletal soft tissue infections. Skeletal Radiol 2010;39:957-971.
Smith PG, Pike MC, Taylor E, Taylor JF. The epidemiology of tropical pyomyositis in Mengo districts of Uganda. Trans R Soc Trop Med Hyg 1978;72:46-53.
Baran E, Aguilera K, Lorenzi LM, Simoneto R, Valuntas L. Basso G. Piomiositis en un paciente inmunocompetente. Rev Chil Infect 2012;29:221-223.
Langer V, Chauhan W, Non-operative management of tropical pyomyositis. Med J Arm Forc Ind 2012;254:256.
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