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Published on: March 18, 2020

Intracranial suppuration complicating tropical pyomyositis. Report of two cases

A Adeloye

    Transactions of the Royal Society of Tropical Medicine and Hygiene
    |January 1, 1982
    PubMed

    Insights

    Tropical pyomyositis can lead to brain abscesses, a complication potentially more common than previously recognized. Autopsy findings in two Nigerian patients highlight this severe neurological complication of pyomyositis.

    Area of Science:

    • Infectious Diseases
    • Neurology
    • Pathology

    Background:

    • Tropical pyomyositis is a bacterial infection of skeletal muscle, primarily occurring in tropical regions.
    • Intracranial abscesses are collections of pus within the brain, often resulting from systemic infections.
    • The association between tropical pyomyositis and intracranial abscesses is infrequently reported.

    Observation:

    • Two male patients from Nigeria, aged five and 50 years, presented with tropical pyomyositis.
    • Both cases were confirmed to have intracranial abscesses.
    • Lesions in both patients were definitively identified through post-mortem examination.

    Findings:

    • The study describes two cases of tropical pyomyositis complicated by intracranial abscesses.
    • Autopsy verification confirmed the presence of brain abscesses in both patients.
    • A review suggests this complication may be underdiagnosed.

    Implications:

    • Increased awareness of this potential complication is crucial for clinicians managing tropical pyomyositis.
    • Routine post-mortem examinations in fatal pyomyositis cases may reveal a higher incidence of brain abscesses.
    • Further research is warranted to understand the pathophysiology and risk factors for this severe complication.

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