Meningitis and pneumococcal pyomyositis in a child with intramuscular hemangiomas: an autopsy case report.

[pyomyositis]

Pyomyositis is the bacterial infection of skeletal muscle , usually accompanied by abscesses . The main etiologic agent is Staphylococcus aureus . There are rare cases attributed to Streptococcus pneumoniae . This paper presents an autopsy of a four year old child with multiple congenital intramuscular hemangiomas that developed pneumococcal pyomyositis associated with meningitis . The authors propose the hypothesis that patients with hemangiomas , mainly the intramuscular type , may also represent a risk group for pyomyositis . The possibility of respiratory /meningeal co -infection , might also be considered even if the clinical picture is restricted to the muscular system .