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Escherichia coli pyomyositis in an immunocompromised host.
[pyomyositis]
Pyomyositis
due
to
Escherichia
coli
(
E
.
coil
)
is
rarely
reported
in
immunocompromised
patients
with
hematological
malignancy
.
We
present
a
case
report
of
a
34
-
year
-old
man
who
developed
E
.
coli
pyomyositis
as
a
complication
of
acute
myelogenous
leukemia
(
AML
)
.
Magnetic
resonance
imaging
(
MRI
)
of
the
right
hip
suggested
myofascial
infection
of
the
gluteal
muscles
,
and
a
needle
muscle
aspiration
grew
E
.
coli
phylogenetic
group
B
2
.
The
patient
responded
to
intravenous
piperacillin
/
tazobactam
followed
by
prolonged
oral
levofloxacin
.
Pyomyositis
should
be
suspected
in
all
immunocompromised
patients
complaining
of
muscle
pain
and
may
exhibit
signs
of
localized
muscle
infection
.
Appropriate
antibiotic
therapy
targeting
fluoroquinolone-resistant
E
.
coli
should
be
considered
for
initial
empiric
therapy
of
pyomyositis
in
immunocompromised
patients
.
