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
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.
Authors
Correspondence to:
Natalia Vallianou, 1st Internal Medicine Department, Evaggelismos General Hospital, Athens, Greece natalia.vallianou@hotmail.com
Publication history:
Received 26 Oct 2018
Revised 13 Nov 2018
Accepted 17 Nov 2018
Published online 12 Dec 2018
Published in print 31 Jan 2019
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
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. https://www.ejmcr.com/?mno=14206 [Access: March 29, 2024]. doi:
10.24911/ejmcr/173-1540403995
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
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 March 29, 2024]; 3(1): 41-44. doi:
10.24911/ejmcr/173-1540403995
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
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
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
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
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