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Tropical pyomyositis in children: 10 years experience of a tertiary care hospital in northern India.
[pyomyositis]
Tropical
pyomyositis
(
TP
)
is
characterized
by
suppuration
within
skeletal
muscles
,
manifesting
as
single
or
multiple
abscesses
.
It
has
been
reported
frequently
from
Africa
and
Latin
America
.
However
,
there
are
only
a
few
cases
reported
in
children
from
India
.
Between
January
2002
and
December
2011
,
40
children
with
TP
were
admitted
to
our
hospital
,
and
their
retrospective
review
formed
the
study
material
.
TP
is
not
an
uncommon
disease
in
children
in
Northern
India
,
especially
during
rainy
seasons
.
Most
of
the
patients
were
admitted
with
short
history
of
fever
,
pain
and
localized
swelling
.
Pus
drainage
was
done
in
87
.
5
%
cases
,
with
the
amount
of
pus
varying
from
5
to
2000
ml
.
The
pus
grew
methicillin-sensitive
Staphylococcus
aureus
(
MSSA
)
in
42
.
5
%
cases
,
whereas
initial
blood
cultures
were
sterile
.
All
received
antibiotics
along
with
surgical
drainage
,
and
recovered
.
It
is
important
for
health
professionals
to
have
a
high
index
of
suspicion
and
familiarity
with
this
imminently
treatable
disease
entity
.