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Internal obturator muscle abscess caused by Klebsiella pneumoniae

G Yahalom1, L Guranda, E Meltzer

  • 1The Department of Neurology, The Chaim Sheba Medical Center, Tel Hashomer 52621, Israel.

The Journal of Infection
|October 24, 2006
PubMed

Insights

This study reports the first case of obturator internus muscle abscess caused by antibiotic-resistant Klebsiella pneumoniae in an elderly diabetic patient, highlighting a growing concern of Gram-negative pyomyositis.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Musculoskeletal Disorders

Background:

  • Obturator internus muscle abscess is a rare form of pyomyositis, typically affecting younger individuals and caused by Gram-positive bacteria.
  • Gram-negative bacterial causes of pyomyositis, once rare, are increasingly reported, particularly in immunocompromised populations.

Observation:

  • A case of obturator internus muscle abscess in an elderly diabetic patient is presented.
  • The causative agent was identified as a highly antibiotic-resistant strain of Klebsiella pneumoniae.

Findings:

  • This is the first reported instance of obturator internus muscle abscess caused by Klebsiella pneumoniae.
  • The case underscores the rising incidence and significance of Gram-negative pyomyositis in diabetic patients.

Implications:

  • Physicians should consider pyomyositis in the differential diagnosis of septic elderly diabetic patients.
  • Increased awareness and familiarity with pyomyositis are crucial for timely diagnosis and management, especially with resistant organisms.

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