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Pyomyositis due to non-haemolytic streptococci.

H Birgisson1, H Kristensen

  • 1Department of Orthopaedics, Silkeborg Centralhospital, Denmark.

Scandinavian Journal of Infectious Diseases
|May 4, 1999
PubMed
Summary
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A rare multifocal pyomyositis caused by non-haemolytic streptococci occurred in a woman with a history of Staphylococcus aureus pyomyositis. Successful treatment involved surgical drainage and antibiotics.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Musculoskeletal Infections

Background:

  • Pyomyositis is a bacterial infection of muscle, typically Staphylococcus aureus.
  • Non-tropical pyomyositis is less common and can be caused by various bacteria.
  • Previous infections and inflammatory conditions may predispose individuals to recurrent or multifocal infections.

Observation:

  • A 36-year-old woman presented with multifocal pyomyositis.
  • The initial infection site was contused muscle in the left anterior thigh.
  • The infection spread to the contralateral femoral and gluteal muscles.

Findings:

  • Cultures identified non-haemolytic streptococci as the causative agent.
  • The patient had a history of Staphylococcus aureus pyomyositis and ulcerative colitis.

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  • The multifocal nature of the infection was unusual for streptococcal pyomyositis.

    • Implications:

    • This case highlights non-haemolytic streptococci as a potential cause of multifocal pyomyositis.
    • It underscores the importance of considering diverse pathogens in recurrent or multifocal pyomyositis.
    • Prompt surgical intervention and appropriate antibiotic therapy are crucial for successful management.