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[Atypical presentation of diffuse tropical pyomiositis of the psoas due to methicillin resistant Staphylococcus aureus].
[pyomyositis]
Diffuse
tropical
primary
pyomyositis
is
an
infrequent
entity
in
our
country
,
with
few
cases
associated
to
community-acquired
Methicillin-
resistant
Staphylococcus
aureus
.
There
are
no
reported
cases
of
Community
-
Acquired
Methicillin-
Resistant
Staphylococcus
aureus
(
CA
-
MRSA
)
in
Peru
.
We
present
the
case
of
a
70
year
old
male
with
a
previous
diagnosis
of
type
2
diabetes
mellitus
,
receiving
irregular
treatment
,
who
was
admitted
to
the
hospital
with
a
history
of
10
days
of
low
back
pain
radiating
to
the
left
leg
,
fever
and
forced
flexion
of
the
right
hip
due
to
pain
during
movement
.
The
diagnosis
of
diffuse
pyomyositis
of
both
psoas
muscles
was
performed
with
MRI
and
culture
of
a
posterior
paravertebral
collection
,
from
which
Staphylococcus
aureus
resistant
to
oxacillin
,
penicillin
and
dicloxacillin
was
isolated
.
Diseases
Validation
Diseases presenting
"receiving irregular treatment"
symptom
pyomyositis
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