Tropical Pyomyositis : Rare Presentation

Abstract

Tropical Pyomyositis is a rare disease in our part of the world. In India it has not been widely reported except for few sporadic case reports. Here we present a case of tropical Pyomyositis with Methicillin resistant Staphylococci isolated from blood.

We are presenting a case of tropical Pyomyositis caused by Methicillin resistant Staphylococci progressing to severe sepsis and disseminated intravascular coagulation.

Tropical Pyomyositis is a suppurative infection of skeletal muscles characterised by single or multiple abscesses within the fascial covering of muscles. The quadriceps, glutei, pectoralis major, serratus anterior, biceps, iliopsoas, gastrocnemius, abdominal and spinal muscles are commonly involved. Usually a single group of muscle is affected, but in 12-40% of cases multiple groups are involved either sequentially or simultaneously