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Enterobacter cloacae pyomyositis complicating chronic granulomatous disease and review of gram-negative bacilli pyomyositis.
[pyomyositis]
Pyomyositis
is
a
primary
purulent
infection
of
skeletal
muscles
mostly
described
in
tropical
areas
.
Staphylococcus
aureus
is
by
far
the
main
causative
microorganisms
.
In
temperate
areas
,
pyomyositis
more
frequently
affects
male
adults
with
immunodeficiency
.
Gram
-negative
bacilli
pyomyositis
are
uncommon
and
occur
mainly
in
this
context
of
immunodeficiency
.
Only
one
case
of
Enterobacter
cloacae
pyomyositis
has
been
reported
so
far
.
Chronic
Granulomatous
Disease
(
CGD
)
is
a
rare
inherited
immunodeficiency
characterized
by
a
loss
of
NADPH
oxidase
activity
in
phagocytic
cells
that
favors
infections
due
to
catalase
-
positive
microorganisms
.
Pyomyositis
has
only
been
described
once
as
a
complication
of
CGD
.
We
report
here
a
case
of
Enterobacter
cloacae-associated
pyomyositis
of
the
left
thigh
in
a
patient
with
CGD
,
and
review
the
literature
on
Gram
-negative
pyomyositis
.
