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Joint Bone Spine
Volume 71, n° 6
pages 595-597 (novembre 2004)
Doi : 10.1016/j.jbspin.2004.09.002
Received : 29 Mars 2004 ;  accepted : 3 September 2004
Multifocal pyomyositis in an immunocompetent patient

Radouane Niamane a, , Ouassima Jalal a, Meryem El Ghazi a, Rachid Hssaida b, Ali Had a
a Internal Medicine Department, Avicenne Military Hospital, Marrakech, Morocco 
b Emergency Department, Avicenne Military Hospital, Marrakech, Morocco 

*Corresponding author. Tel.: +212-61-30-01-90; fax: +212-44-43-01-43.

Pyomyositis is defined as suppurative infection of the skeletal muscle and usually occurs in immunocompromized patients. We managed a 23-year-old man admitted for myalgia and evidence of infection, with onset after a strenuous physical activity. Numerous muscles were involved. Multiple abscesses were visualized by ultrasonography and computed tomography, with predominant involvement of the pelvic muscles. Examination of the aspirate from a forearm abscess recovered Staphylococcus aureus . No factors associated with immunodeficiency were found. Appropriate antimicrobial therapy ensured complete resolution of the infection. Pyomyositis is rare in immunocompetent individuals. Myalgia, fever, and rhabdomyolysis should suggest pyomyositis. Computed tomography and magnetic resonance imaging are the best investigations for confirming the diagnosis.

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Keywords : Pyomyositis, Infection, Muscle

© 2004  Published by Elsevier Masson SAS.
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