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Primary pyomyositis: an unusual presentation in an older patient with no recognised risk factors.
[pyomyositis]
Primary
pyomyositis
is
a
subacute
deep
bacterial
infection
of
skeletal
muscle
.
It
is
typically
seen
in
tropical
countries
with
Staphylococcus
aureus
being
the
commonest
pathogen
.
Immunocompromised
states
and
trauma
are
associated
with
cases
in
temperate
climates
where
there
is
an
increasing
incidence
,
typically
in
children
and
young
adults
.
However
,
the
authors
present
a
case
of
primary
pyomyositis
in
a
previously
healthy
80
-
year
-old
female
.
The
authors
highlight
the
potential
difficulties
in
early
diagnosis
of
this
rare
condition
in
the
UK
indicating
the
need
for
early
MRI
imaging
and
the
low
sensitivity
of
blood
cultures
and
serum
creatine
kinase
measurements
.
Treatment
,
including
early
surgical
drainage
and
appropriate
antibiotic
therapy
,
is
discussed
.
Diseases
Validation
Diseases presenting
"early surgical drainage"
symptom
pyomyositis
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