MRSA pyomyositis complicating sickle cell anaemia

Millar, Carolyn M.; Page, Toby; Paterson, Pamela; Taylor, Clare P. F.

doi:10.1046/j.1365-2257.2001.00415.x

Cited by 9 publications

(4 citation statements)

References 10 publications

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“…Non-malignant hematological diseases associated with pyomyositis are sickle cell anemia and aplastic anemia. 28,29 Diagnosis of pyomyositis is facilitated by MRI or CTscanning of the affected area and by aspiration of fluid for microbiological testing under ultrasound or CT guidance. Reviewing the 44 patients retrieved from the literature, S. aureus was found to be the most common cause of pyomyositis (grew in culture in 26 out of 44 patients (59.1%)) and was the causative pathogen of the pyomyositis in our patient as well.…”

Section: Literature Review and Discussionmentioning

confidence: 99%

Pyomyositis associated with hematological malignancy: case report and review of the literature

Falagas

Rafailidis

Kapaskelis

et al. 2008

International Journal of Infectious Diseases

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Pyomyositis occurs most commonly in patients with various immunosuppressive diseases. However, the association of pyomyositis with an underlying hematological malignancy has not been reviewed. We present herein a relevant case and also review the available literature regarding the association of non-tropical pyomyositis and hematological malignancies. The case patient, a 46-year old female, had non-tropical pyomyositis of the iliopsoas and obturator muscles due to Staphylococcus aureus and underlying Hodgkin's disease. Forty-four patients with pyomyositis and an associated hematological malignant disease have been reported in the literature. The most common types of hematological oncology diseases found were acute lymphocytic leukemia (present in 11/44 patients (25%)) and multiple myeloma (7/44 patients (15.9%)). Staphylococcus aureus was the most common cause of pyomyositis (26 out of 44 patients (59.1%)). The muscles of the thigh were most commonly affected (18/44 patients (40.9%)). Medical therapy with antibiotics and surgical drainage were employed in 25/44 (56.8%) of the patients. Thirty out of 44 (68.2%) of the patients had a successful outcome. Death occurred in 5/44 (11.4%) patients. In cases of pyomyositis, the physician should consider an underlying hematological malignancy.

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Section: Literature Review and Discussionmentioning

confidence: 99%

Pyomyositis associated with hematological malignancy: case report and review of the literature

Falagas

Rafailidis

Kapaskelis

et al. 2008

International Journal of Infectious Diseases

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“…The first case report of MRSA pyomyositis in the literature was from Singapore in 1996 (Kong et al, 1996). Since then there have only been 12 further cases reported worldwide (Hayashi et al, 2003;Millar et al, 2000;Liew et al, 1998;Milochau et al, 1997;Endoh et al, 2000;Fan et al, 2002;Vassilopoulos et al, 1997;Ruiz et al, 2005) and in 9 of these the MRSA was acquired from the community (Kong et al, 1996;Liew et al, 1998;Milochau et al, 1997;Fan et al, 2002;Vassilopoulos et al, 1997;Ruiz et al, 2005). Most recently, a case series of four patients was reported in the USA (Ruiz et al, 2005).…”

Section: Discussionmentioning

confidence: 99%

Community-acquired methicillin-resistant Staphylococcus aureus pyomyositis in an intravenous drug user

Fowler

Mackay

2006

Journal of Medical Microbiology

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Pyomyositis is a disease of abscess formation deep within large striated muscles. Outside of the tropics it is a rare disease which occurs mainly in certain patient populations such as the immunosuppressed or intravenous drug users (IDUs). A case of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) pyomyositis in an IDU is described. The incidence of both CA-MRSA and pyomyositis is currently increasing. To the authors' knowledge this is the first reported case of CA-MRSA pyomyositis in the UK. Cases of CA-MRSA pyomyositis are likely to increase and it may be necessary to empirically treat certain patients with glycopeptides.

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“…3,13,24,33 Sickle cell anemia has been previously described as being associated with pyomyositis. 34,35 The role that malnutrition plays in the etiology of pyomyositis is unclear. Belli et al reported that patients in poor general condition, with malnutrition and vitamin deficiency, are particularly affected.…”

Section: Etiology and Pathogenesismentioning

confidence: 99%

Tropical Pyomyositis and Necrotizing Fasciitis

Chou¹,

Teo²,

Dubey³

et al. 2011

Semin Musculoskelet Radiol

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Pyomyositis is a purulent infection of skeletal muscle that arises from hematogenous spread, usually with abscess formation. Necrotizing fasciitis is a more severe, rapidly progressive infection involving the superficial and deep fascia with necrosis and fluid collections that can be life threatening if left untreated. Both conditions may coexist, and concomitant cellulitis is often seen. A high incidence of these diseases occurs in the tropics, but they are increasingly being seen in temperate countries, due in part to their association with immunodeficiency conditions such as human immunodeficiency virus (HIV) infection, diabetes mellitus, and organ transplantation. This article aims to familiarize physicians with these entities, review their clinical manifestations and imaging features, and highlight the role of imaging in the management of patients with these conditions.

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MRSA pyomyositis complicating sickle cell anaemia

Cited by 9 publications

References 10 publications

Pyomyositis associated with hematological malignancy: case report and review of the literature

Pyomyositis associated with hematological malignancy: case report and review of the literature

Community-acquired methicillin-resistant Staphylococcus aureus pyomyositis in an intravenous drug user

Tropical Pyomyositis and Necrotizing Fasciitis

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