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PYOMYOSITIS IN ATHLETES AFTER THE USE OF ANABOLIC STEROIDS - CASE REPORTS
Nivaldo Souza Cardozo Filho1, Eric Figueirido Gaspar1, Karina Levy Siqueira1
1Orthopedist at the Traumatological-Orthopedic Center for Sports (CETE/Unifesp) and Member of the Brazilian Society of Orthopedics and Traumatology.
Revista Brasileira De Ortopedia
|March 31, 2016
Summary
Anabolic steroid use in athletes can lead to pyomyositis, a serious muscle infection. Prompt medical intervention, including surgery and antibiotics, is crucial for recovery and return to sport.
Area of Science:
- Sports Medicine
- Infectious Diseases
- Orthopedics
Background:
- Anabolic steroid use is prevalent among athletes.
- Pyomyositis, a bacterial infection of muscle, can occur secondary to steroid injections.
- This study investigates five cases of pyomyositis in athletes linked to anabolic steroid use.
Observation:
- Five athletes developed pyomyositis following anabolic steroid use.
- Infections were primarily located in upper limbs and gluteal muscles.
- Clinical diagnosis was supported by laboratory tests (leukocytosis, neutrophilia) and imaging (ultrasound, MRI).
Findings:
- Cultures revealed common skin bacteria (S. aureus, S. viridans).
- All patients responded to broad-spectrum antibiotic therapy.
- Two patients required multiple surgeries due to recurrent abscess formation.
Implications:
- Anabolic steroid abuse carries significant health risks, including severe infections.
- Multidisciplinary and rapid treatment is essential for favorable outcomes.
- Complete recovery and return to athletic performance are achievable with appropriate management.
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