Nontropical pyomyositis complicated with spinal epidural abscess in a previously healthy child.

[pyomyositis]

Pyomyositis (PM ), a rare pyogenic infection that involves skeletal muscles , if not immediately diagnosed , can be fatal . Most notably , this results in spinal epidural abscess (SEA ) in typically unhealthy individuals .We present a very rare nontropical PM complicated with SEA in a previously healthy child revealed by Magnetic resonance imaging (MRI ). Our patient recovered without complications 5 years after abscess drainage and antibiotics .PM remains a challenge to clinicians and should be considered in the differential diagnosis of musculoskeletal pain . MRI is the investigation of choice of spinal infection and should be undertaken at an early stage .