Description

Pyomyositis is an acute bacterial abscess involving skeletal muscle. It is relatively uncommon unless one or more risk factors are present.


 

NOTE: The term pyomyositis may be reserved for primary muscle abscess, without an adjacent focus of infection.

 

Geographic:

(1) living in the tropics (tropical pyomyositis)

 

Immunodeficiency or immunosuppression:

(1) HIV disease

(2) leukemia

(3) agammaglobulinemia

(4) diabetes mellitus

 

Muscle injury:

(1) strenuous exercise

(2) blunt trauma

(3) penetrating injury

(4) intramuscular drug injection (especially with contaminated needles)

(5) preceding infection involving muscle (viral myositis, migrating or residing parasite)

(6) ischemia

 

Source of bacteria:

(1) transient bacteremia

(2) adjacent soft tissue abscess or other focus of infection

 


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