Pyomyositis and bacteremia due to Staphylococcus aureus as onset of acute promyelocytic leukemia

Pseudomonas aeruginosa Pyomyositis in a Child With Acute Lymphoblastic Leukemia: A Case Report and Review of Literature

“…A total of 14 cases of pyomyositis in children affected by hematological malignancy were reported (Table 1). In most cases, local muscular pain was the main reported symptom (11/14), [7][8][9][10][11][12][13][14][15] whereas fever was not always present. A minority of patients presented a tense palpable mass or multiple nodular lesions (3/14) 10,11,16 ; redness and skin warmth in the area were reported only in 2 cases.…”

“…In most cases, local muscular pain was the main reported symptom (11/14), [7][8][9][10][11][12][13][14][15] whereas fever was not always present. A minority of patients presented a tense palpable mass or multiple nodular lesions (3/14) 10,11,16 ; redness and skin warmth in the area were reported only in 2 cases. 9,13 The majority of children (10/14) were affected by ALL.…”

“…14 In most cases (9/14), MRI was performed as the first radiologic examination to detect the muscular infection. 8,[11][12][13][14][15][16][17] When ultrasound was chosen as the first radiologic examination (2/14), it resulted diagnostic, showing an abscess, 7,10 yet it is unclear if it would have been similarly diagnostic in the earlier, nonsuppurative phases of the infection. Evolution in muscular abscess occurred in most patients (10/14) during the course of infection, despite intravenous antibiotic therapy, and was followed by drainage.…”

“…Notably, pyomyositis was the first presentation sign of hematological malignancy in 2 patients: 1 was subsequently diagnosed having ALL,13 and the other chronic myeloid leukemia 14. In most cases (9/14), MRI was performed as the first radiologic examination to detect the muscular infection 8,11–17. When ultrasound was chosen as the first radiologic examination (2/14), it resulted diagnostic, showing an abscess,7,10 yet it is unclear if it would have been similarly diagnostic in the earlier, nonsuppurative phases of the infection.…”

Purulent Infectious Myositis: Its Anguish and Ubiquitous!

“…The next hypothesis of PIM was due to vitamin deficiency (thiamine) (Engel, 1981) and parasites (Toxocara canis, trichinella, Dracunculus medinesis) (Habeych et al, 2020) with concurrent bacteremia. Presently PIM is considered to occur as a complication of transient bacteraemia in patients with pre-existing muscle abnormality (strain, trauma, parasite, or another inciting event) (Domínguez-Pinilla et al, 2015). Evolutionarily iron sequestration in intracellular spaces act as defence mechanism against bacterial proliferation.…”