open access

Vol 9, No 2 (2020)
Case reports
Published online: 2020-02-07
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Lower limb bilateral pyomyositis in a diabetic patient: case report and literature review

Márcio Luís Duarte, Ralff Mallmann, Simone Botelho Alvarenga, Lucas Ribeiro dos Santos, José Luiz Masson de Almeida Prado, Luiz Carlos Donoso Scoppetta
DOI: 10.5603/DK.2020.0003
·
Clinical Diabetology 2020;9(2):134-137.

open access

Vol 9, No 2 (2020)
Case reports
Published online: 2020-02-07

Abstract

Pyomiositis is a bacterial infection of skeletal muscle tissue occurring mostly in immunocompromised pa­tients, including diabetics. The main agents are Gram-positive cocci. We report a case of a 42 years old, male, diabetic, who presented the emergency room referring pain in thighs and inability to flex his legs. We performed a magnetic resonance which revealed extensive purulent collections in both lower limbs, thus confirming clinical suspicion, and allowing proper antibiotic treatment. In this case, we showed that imaging tests facilitate early diagnosis and treatment through direct location of the lesions, and guides invasive procedures such as biopsy and abscess aspiration when needed.

Abstract

Pyomiositis is a bacterial infection of skeletal muscle tissue occurring mostly in immunocompromised pa­tients, including diabetics. The main agents are Gram-positive cocci. We report a case of a 42 years old, male, diabetic, who presented the emergency room referring pain in thighs and inability to flex his legs. We performed a magnetic resonance which revealed extensive purulent collections in both lower limbs, thus confirming clinical suspicion, and allowing proper antibiotic treatment. In this case, we showed that imaging tests facilitate early diagnosis and treatment through direct location of the lesions, and guides invasive procedures such as biopsy and abscess aspiration when needed.

Get Citation

Keywords

pyomyositis, diabetes mellitus type 2, magnetic resonance imaging

About this article
Title

Lower limb bilateral pyomyositis in a diabetic patient: case report and literature review

Journal

Clinical Diabetology

Issue

Vol 9, No 2 (2020)

Pages

134-137

Published online

2020-02-07

DOI

10.5603/DK.2020.0003

Bibliographic record

Clinical Diabetology 2020;9(2):134-137.

Keywords

pyomyositis
diabetes mellitus type 2
magnetic resonance imaging

Authors

Márcio Luís Duarte
Ralff Mallmann
Simone Botelho Alvarenga
Lucas Ribeiro dos Santos
José Luiz Masson de Almeida Prado
Luiz Carlos Donoso Scoppetta

References (13)
  1. Polizelli D, Geraldino G, Narvaes E, et al. Piomiosite associada ao diabetes mellitus e cirrose hepática. Rev Bras Reumatol. 2010; 50(4): 472–477.
  2. Lemonick DM. Non-tropical pyomyositis caused by methicillin-resistant Staphylococcus aureus: an unusual cause of bilateral leg pain. J Emerg Med. 2012; 42(3): e55–e62.
  3. Bureau NJ, Chhem RK, Cardinal E. Musculoskeletal infections: US manifestations. Radiographics. 1999; 19(6): 1585–1592.
  4. Scully RE, Mark EJ, McNelly WF. EbelingSH, Phillips LD. Case 29-1997: case records of the Massachusetts General Hospital. N Engl J Med. 1997; 337: 839–845.
  5. Bickels J, Ben-Sira L, Kessler A, et al. Primary pyomyositis. J Bone Joint Surg Am. 2002; 84(12): 2277–2286.
  6. Christin L, Sarosi GA. Pyomyositis in North America: case reports and review. Clin Infect Dis. 1992; 15(4): 668–677.
  7. Fayad LM, Carrino JA, Fishman EK. Musculoskeletal infection: role of CT in the emergency department. Radiographics. 2007; 27(6): 1723–1736.
  8. Pereira F, Medeiros Y. Síndromes dolorosas em diabéticos por comprometimento de musculatura esquelética. Arq Bras Endocrinol Metab. 2006; 50(5): 957–962.
  9. Soler R, Rodríguez E, Aguilera C, et al. Magnetic resonance imaging of pyomyositis in 43 cases. Eur J Radiol. 2000; 35(1): 59–64.
  10. Schweitzer ME, Fort J. Cost-effectiveness of MR imaging in evaluating polymyositis. AJR Am J Roentgenol. 1995; 165(6): 1469–1471.
  11. Al-Tawfiq JA, Sarosi GA, Cushing HE. Pyomyositis in the acquired immunodeficiency syndrome. South Med J. 2000; 93(3): 330–334.
  12. Azevedo PS, Matsui M, Matsubara LS, et al. Piomiosite tropical: apresentações atípicas. Rev Soc Bras Med Trop. 2004; 37(3): 273–278.
  13. Bickels J, Ben-Sira L, Kessler A, et al. Primary pyomyositis. J Bone Joint Surg Am. 2002; 84(12): 2277–2286.

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