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Tropical pyomyositis in a temperate climate in an immunocompetent adult.

Abstract
Tropical pyomyositis, though common in Africa, South America, and the South Pacific, is relatively rare in North America. Reported is the case of a patient who developed chest wall muscle abscesses after sustaining minor chest wall muscle trauma and presented to the emergency department appearing acutely ill. He was treated surgically with irrigation and debridement of the abscesses as well as with antibiotics and recovered fully over a seven-month course. This case illustrates important aspects of tropical pyomyositis with a discussion of the natural history of this disease as well as diagnostic modalities and treatment options for this virulent infectious process that is usually caused by penicillin-resistant Staphylococcus aureus.
AuthorsE J Nielsen
JournalAnnals of emergency medicine (Ann Emerg Med) Vol. 21 Issue 7 Pg. 880-2 (Jul 1992) ISSN: 0196-0644 [Print] United States
PMID1610049 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Anti-Bacterial Agents
Topics
  • Adult
  • Anti-Bacterial Agents
  • Debridement
  • Drug Therapy, Combination (therapeutic use)
  • Humans
  • Male
  • Myositis (microbiology, therapy)
  • Staphylococcal Infections (microbiology, therapy)
  • Staphylococcus aureus (isolation & purification)
  • Suppuration

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