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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
.
Diseases
Validation
Diseases presenting
"fever"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
alexander disease
allergic bronchopulmonary aspergillosis
canavan disease
carcinoma of the gallbladder
child syndrome
congenital toxoplasmosis
cushing syndrome
cystinuria
dracunculiasis
erdheim-chester disease
esophageal adenocarcinoma
esophageal carcinoma
familial mediterranean fever
focal myositis
hodgkin lymphoma, classical
lamellar ichthyosis
legionellosis
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
neuralgic amyotrophy
oculocutaneous albinism
papillon-lefèvre syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
typhoid
waldenström macroglobulinemia
wolf-hirschhorn syndrome
This symptom has already been validated