Oesophageal pyomyositis in an intravenous drug user.

[pyomyositis]

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 .