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Lower limb bilateral pyomyositis in a diabetic patient: case report and literature review
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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.
Keywords
pyomyositis, diabetes mellitus type 2, magnetic resonance imaging
About this articleTitle
Lower limb bilateral pyomyositis in a diabetic patient: case report and literature review
Journal
Issue
Article type
Case report
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
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