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Gram-negative bacterial pyomyositis: unique case and review.

F A Sarubbi1, G D Gafford, D R Bishop

  • 1Medical Service, Mountain Home Veterans Administration Medical Center, Johnson City, Tennessee.

Reviews of Infectious Diseases
|September 1, 1989
PubMed
Summary

Gram-negative bacterial pyomyositis is rare, with Staphylococcus aureus being the most common cause of this skeletal muscle infection. This study presents a unique case of Serratia marcescens pyomyositis in a patient with multiple myeloma.

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Area of Science:

  • Infectious Diseases
  • Microbiology
  • Musculoskeletal System

Background:

  • Bacterial pyomyositis typically involves gram-positive organisms like Staphylococcus aureus.
  • Skeletal muscle infections caused by aerobic gram-negative bacteria are exceptionally rare, even in tropical regions.

Observation:

  • A literature review identified only five previously reported gram-negative organisms causing pyomyositis in the United States.
  • This report details a unique case of pyomyositis caused by Serratia marcescens.

Findings:

  • The patient presented with multiple myeloma, a condition not typically associated with gram-negative pyomyositis.
  • Lower leg muscles appear to be a common site for gram-negative pyomyositis.
  • Successful clinical outcomes were achieved with surgical drainage and targeted antibiotic treatment.

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Implications:

  • This case expands the known spectrum of bacteria causing pyomyositis.
  • Highlights the importance of considering gram-negative organisms in specific patient populations, such as those with multiple myeloma.
  • Emphasizes the effectiveness of prompt surgical and antibiotic intervention for achieving clinical cure in rare pyomyositis cases.