Pyomyositis M60.0

Author: Prof. Dr. med. Peter Altmeyer

All authors of this article

Last updated on: 29.10.2020

Dieser Artikel auf Deutsch

Synonym(s)

Myositis tropicans; tropical pyomyositis

Definition
This section has been translated automatically.

Acute inflammation of the skeletal muscles, occurring mainly in the tropics and subtropics.

Pathogen
This section has been translated automatically.

  • Staphylococcus aureus, part MRSA.
  • Streptococcus pyogenes.
  • Mycobacterium tuberculosis.
  • Parasites like trypanosomes and filariae.

Occurrence/Epidemiology
This section has been translated automatically.

Preferably occurring in tropics and subtropics.

Etiopathogenesis
This section has been translated automatically.

  • Mainly injuries of the skin lead to the invasion of germs into the deeper skin layers up to the muscle layer.
  • Viral or parasitic infection as well as malnutrition can predispose a pyomyositis.

Abscess formation up to muscle destruction.

Manifestation
This section has been translated automatically.

Mainly occurring in children and young, male adults.

Localization
This section has been translated automatically.

Mainly gluteal muscles and M. quadriceps are affected. Furthermore, M. erector spinae and the shoulder girdle muscles can be affected.

Clinical features
This section has been translated automatically.

Rough, red, occasionally overheated or fluctuating, circumscribed indurations or soft tissue swellings that have reached significantly deeper tissue layers. Muscle pain and fever.

Laboratory
This section has been translated automatically.

Leukocytosis, mild eosinophilia, BSG and CRP elevation.

Diagnosis
This section has been translated automatically.

  • Ultrasound and other imaging techniques.
  • Aspiration or smear from abscess material for microbiological examination (culture, PCR).

Differential diagnosis
This section has been translated automatically.

Osteomyelitis; abscess; phlegmons.

Complication(s)
This section has been translated automatically.

Muscle destruction; sepsis.

Therapy
This section has been translated automatically.

Literature
This section has been translated automatically.

  1. Chauhan S, Jain S, Varma S, Chauhan S (2004) Tropical pyomyositis (myositis tropicans): current perspective. Postgrade Med J 80: 267-270
  2. Lederer W (2007) Tropical pyomyositis in children. J Pediatric orthopaedic surgeon B 16: 383

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

Authors

Last updated on: 29.10.2020