Nontropical pyomyositis in adults

Gómez-Reino, Juan J.; Aznar, J.J.; Pablos, José L.; Dı́az-González, Federico; Laffón, A

doi:10.1016/0049-0172(94)90090-6

Cited by 84 publications

(88 citation statements)

References 88 publications

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“…Most of the cases are caused by Staphylococcus aureus and aerobic streptococci [1][2][3], while facultative gram-negative bacilli, including Klebsiella pneumoniae, are uncommon causes of community-acquired cSSTIs of the extremities [1][2][3][4]. Irrespective of iliopsoas abscess, by reviewing the literature on MEDLINE from 1970 to 2005, less than 30 cases of cSSTIs of the extremities caused by monomicrobial K. pneumoniae were reported [5][6][7][8][9][10][11][12][13][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Community-Acquired Klebsiella pneumoniae Complicated Skin and Soft-Tissue Infections of Extremities: Emphasis on Cirrhotic Patients and Gas Formation

Chang

Lee

et al. 2008

Infection

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Section: Introductionmentioning

confidence: 99%

Community-Acquired Klebsiella pneumoniae Complicated Skin and Soft-Tissue Infections of Extremities: Emphasis on Cirrhotic Patients and Gas Formation

Chang

Lee

et al. 2008

Infection

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“…The literature on pyomyositis in diabetic patients is limited to case reports [1,3,5,6,9,23,25,29,[34][35][36][37], a few series including among other patients one to 16 patient with diabetes [7,20,24,27,31,38], and to reviews of the above studies [13,19,33], altogether amounting to 57 cases of pyomyositis in diabetic patients.…”

Section: Introductionmentioning

confidence: 99%

Increased Oxacillin Resistance in Thigh Pyomyositis in Diabetic Patients

Zalavras

Rigopoulos

Poultsides

et al. 2008

Clinical Orthopaedics &Amp; Related Research

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Thigh abscesses due to pyomyositis are uncommon. To guide empiric antibiotic therapy in diabetics we determined the rate of such infections due to oxacillin-resistant Staphylococcus aureus and Gram-negative organism infections, and whether the occurrence of oxacillin-resistant pathogens increased during the study period. We retrospectively reviewed 39 adult patients with diabetes mellitus treated for a deep thigh abscess. There were 29 men and 10 women; their mean age was 45 years. Comorbidities were present in 15 patients. S. aureus was the most common pathogen, present in 82% (32/39) of our patients. Gram-negative organisms were cultured in 14%

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“…However, blood and pus cultures are positive only in 30À35% and 60À70% of cases, respectively. 3,6 Owing to lack of specificity of laboratory testing, high clinical suspicion and early radiologic evaluation are keys to diagnosis, as in our case. Investigations show leucocytosis with neutrophilic predominance and an elevated ESR.…”

Section: Discussionmentioning

confidence: 98%