EJMCR. 2019; 3(1): 41-44

Tropical pyomyositis with S. aureus bacteremia in a patient with newly diagnosed diabetes mellitus type 2 who presented with muscle weakness and rhabdomyolysis

Authors: Alexandros Skourtis, Eleni Geladari, Panagiota Tsamadia, Georgios Kafetzis, Eleni Antypa, Chara Kouvidou, Natalia Vallianou.

ABSTRACT

Backgound: Pyomyositis is a medical condition characterized by pus collection and abscess formation within the skeletal muscles . There are two main loci, where pyomyositis develops; tropic regions that primarily occurs in healthy children along with temperate areas, where the affected population is primarily immunocompromised adults . The most common predisposing factor is any state of immunodeficiency . The most common culprit is Staphylococcus aureus (S. aureus). The classic clinical presentation of the disease is cramping muscle pain accompanied by fever. The anatomical parts most commonly affected are the lower extremities . Complications include pericarditis, septic emboli, endocarditis and even rhabdomyolysis . Cultures of drainage specimens and radiographic imaging point to the correct diagnosis . Antibiotic coverage and drainage of purulent material is the treatment of choice . Case presentation: Herein, we cite an eighty-two-years old male patient with pyomyositis, S. aureus bacteremia and newly diagnosed type II diabetes mellitus, who presented with muscle weakness complicated by rhabdomyolysis. Conclusion: Diabetes mellitus may be the substrate for the development of pyomyositis.

Keywords:
pyomyositis, Staphylococcus aureus, muscle tenderness, type II diabetes mellitus, antibiotics, surgical drainage.


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Tropical pyomyositis with S. aureus bacteremia in a patient with newly diagnosed diabetes mellitus type 2 who presented with muscle weakness and rhabdomyolysis


Authors
Alexandros Skourtis
1st Internal Medicine Department, Evaggelismos General Hospital, Athens, Greece
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Eleni Geladari
1st Internal Medicine Department, Evaggelismos General Hospital, Athens, Greece
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Panagiota Tsamadia
1st Internal Medicine Department, Evaggelismos General Hospital, Athens, Greece
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Georgios Kafetzis
4th Surgical Department, Evaggelismos General Hospital, Athens, Greece
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Eleni Antypa
Radiology Department, Evaggelismos General Hospital, Athens, Greece
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Chara Kouvidou
Pathology Department, Evaggelismos General Hospital, Athens, Greece
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Natalia Vallianou
1st Internal Medicine Department, Evaggelismos General Hospital, Athens, Greece
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Correspondence to:
. Natalia Vallianou, 1st Internal Medicine Department, Evaggelismos General Hospital, Athens, Greece; natalia.vallianou@hotmail.com

Publication history
Published online 01 Jan 1970
Received 26 Oct 2018
Revised 13 Nov 2018
Accepted 17 Nov 2018
Published in print 31 Jan 2019

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Pubmed Style

Skourtis A, Geladari E, Tsamadia P, Kafetzis G, Antypa E, Kouvidou C, Vallianou N. Tropical pyomyositis with S. aureus bacteremia in a patient with newly diagnosed diabetes mellitus type 2 who presented with muscle weakness and rhabdomyolysis. EJMCR. 2019; 3(1): 41-44. doi:10.24911/ejmcr/173-1540403995


Web Style

Skourtis A, Geladari E, Tsamadia P, Kafetzis G, Antypa E, Kouvidou C, Vallianou N. Tropical pyomyositis with S. aureus bacteremia in a patient with newly diagnosed diabetes mellitus type 2 who presented with muscle weakness and rhabdomyolysis. http://www.ejmcr.com/?mno=14206 [Access: June 24, 2019]. doi:10.24911/ejmcr/173-1540403995


AMA (American Medical Association) Style

Skourtis A, Geladari E, Tsamadia P, Kafetzis G, Antypa E, Kouvidou C, Vallianou N. Tropical pyomyositis with S. aureus bacteremia in a patient with newly diagnosed diabetes mellitus type 2 who presented with muscle weakness and rhabdomyolysis. EJMCR. 2019; 3(1): 41-44. doi:10.24911/ejmcr/173-1540403995


Vancouver/ICMJE Style

Skourtis A, Geladari E, Tsamadia P, Kafetzis G, Antypa E, Kouvidou C, Vallianou N. Tropical pyomyositis with S. aureus bacteremia in a patient with newly diagnosed diabetes mellitus type 2 who presented with muscle weakness and rhabdomyolysis. EJMCR. (2019), [cited June 24, 2019]; 3(1): 41-44. doi:10.24911/ejmcr/173-1540403995


Harvard Style

Skourtis, A., Geladari, . E., Tsamadia, . P., Kafetzis, . G., Antypa, . E., Kouvidou, . C. & Vallianou, . N. (2019) Tropical pyomyositis with S. aureus bacteremia in a patient with newly diagnosed diabetes mellitus type 2 who presented with muscle weakness and rhabdomyolysis. EJMCR, 3 (1), 41-44. doi:10.24911/ejmcr/173-1540403995


Turabian Style

Skourtis, Alexandros, Eleni Geladari, Panagiota Tsamadia, Georgios Kafetzis, Eleni Antypa, Chara Kouvidou, and Natalia Vallianou. 2019. Tropical pyomyositis with S. aureus bacteremia in a patient with newly diagnosed diabetes mellitus type 2 who presented with muscle weakness and rhabdomyolysis. European Journal of Medical Case Reports, 3 (1), 41-44. doi:10.24911/ejmcr/173-1540403995


Chicago Style

Skourtis, Alexandros, Eleni Geladari, Panagiota Tsamadia, Georgios Kafetzis, Eleni Antypa, Chara Kouvidou, and Natalia Vallianou. "Tropical pyomyositis with S. aureus bacteremia in a patient with newly diagnosed diabetes mellitus type 2 who presented with muscle weakness and rhabdomyolysis." European Journal of Medical Case Reports 3 (2019), 41-44. doi:10.24911/ejmcr/173-1540403995


MLA (The Modern Language Association) Style

Skourtis, Alexandros, Eleni Geladari, Panagiota Tsamadia, Georgios Kafetzis, Eleni Antypa, Chara Kouvidou, and Natalia Vallianou. "Tropical pyomyositis with S. aureus bacteremia in a patient with newly diagnosed diabetes mellitus type 2 who presented with muscle weakness and rhabdomyolysis." European Journal of Medical Case Reports 3.1 (2019), 41-44. Print. doi:10.24911/ejmcr/173-1540403995


APA (American Psychological Association) Style

Skourtis, A., Geladari, . E., Tsamadia, . P., Kafetzis, . G., Antypa, . E., Kouvidou, . C. & Vallianou, . N. (2019) Tropical pyomyositis with S. aureus bacteremia in a patient with newly diagnosed diabetes mellitus type 2 who presented with muscle weakness and rhabdomyolysis. European Journal of Medical Case Reports, 3 (1), 41-44. doi:10.24911/ejmcr/173-1540403995


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