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Streptococcus agalactiae pyomyositis in diabetes mellitus
Deepa Panikkath1, Pakpoom Tantrachoti1, Ragesh Panikkath1
1Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas.
Proceedings (Baylor University. Medical Center)
|July 2, 2016
Summary
Nontropical pyomyositis, a skeletal muscle infection, can occur in temperate climates. This case highlights Streptococcus agalactiae as a cause in a diabetic patient, emphasizing prompt diagnosis and treatment for recovery.
Area of Science:
- Infectious Diseases
- Musculoskeletal System
Background:
- Pyomyositis is an acute skeletal muscle infection, typically found in tropical regions.
- Increasingly, cases are reported in temperate zones, including the United States.
- Diabetes mellitus is a potential predisposing factor for pyomyositis.
Observation:
- A 58-year-old diabetic male presented with chest wall swelling initially mimicking an intramuscular hematoma.
- Clinical deterioration included fever and increased swelling.
- Aspiration revealed Streptococcus agalactiae, confirming pyomyositis.
Findings:
- Prompt aspiration of the abscess and targeted antibiotic therapy led to complete resolution.
- Streptococcus agalactiae was identified as the causative pathogen.
- The case underscores the importance of considering pyomyositis in diabetic patients with unexplained swelling and fever.
Implications:
- This case expands the geographical understanding of pyomyositis.
- Highlights the need for early diagnostic consideration of pyomyositis in diabetic individuals.
- Successful management involves prompt drainage and appropriate antimicrobial treatment.
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