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Tropical pyomyositis.
[pyomyositis]
Tropical
pyomyositis
is
characterized
by
suppuration
within
skeletal
muscles
,
manifesting
as
single
or
multiple
abscesses
.
Though
primarily
a
disease
of
tropics
,
it
is
increasingly
being
reported
from
temperate
regions
in
immunosuppressed
patients
.
However
,
India
has
only
few
sporadic
case
reports
.
The
aim
of
this
study
is
to
evaluate
the
causative
organisms
,
clinical
presentations
,
diagnostic
modalities
,
treatment
protocols
and
outcome
data
in
tropical
pyomyositis
patients
.
The
study
was
carried
out
in
Nilratan
Sircar
Medical
College
and
Hospital
,
Kolkata
over
3
years
(
July
2010
to
June
2013
)
.
A
total
of
12
patients
were
diagnosed
with
tropical
pyomyositis
(
confirmed
with
aspiration
and
culture
of
pus
from
muscle
)
.
All
the
investigation
and
treatment
data
were
recorded
systematically
.
The
presenting
feature
was
high
fever
and
myalgia
in
all
12
patients
.
Quadriceps
femoris
was
the
most
commonly
involved
muscle
(
50
%
)
;
followed
by
iliopsoas
(
25
%
)
.
Culture
of
the
aspirate
showed
Staphylococcus
aureus
in
nine
patients
(
75
%
)
,
Klebsiella
pneumonia
in
one
patient
(
8
.
33
%
)
and
no
growth
in
two
patients
(
16
.
67
%
)
even
after
tubercular
and
fungal
culture
.
Tropical
pyomyositis
can
affect
immune-competent
individuals
.
S
.
aureus
is
the
most
commonly
cultured
organism
.
Immediate
initiation
of
appropriate
antibiotics
and
surgical
debridement
are
required
to
avoid
complications
.
The
prognosis
remains
excellent
if
promptly
treated
.