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Pyomyositis

MedGen UID:
52862
•Concept ID:
C0041188
•
Disease or Syndrome
Synonyms: Myositis, Tropical; Tropical Myositis
SNOMED CT: Tropical pyomyositis (65110003); Tropical myositis (65110003)
Modes of inheritance:
Not genetically inherited
MedGen UID:
988794
•Concept ID:
CN307044
•
Finding
Source: Orphanet
clinical entity without genetic inheritance.
See: This record
Not genetically inherited (Orphanet)
 
Monarch Initiative: MONDO:0019168
Orphanet: ORPHA764

Definition

Pyomyositis (PM) is a rare primary bacterial infection of the skeletal muscle, usually resulting from hematogenous spread or due to muscle injury, and characterized by pain and tenderness in the affected muscle, fever and abscess formation. [from ORDO]

Professional guidelines

PubMed

Acute musculoskeletal infection in children: assessment and management.
Sykes MC, Ahluwalia AK, Hay D, Dalrymple J, Firth GB
Br J Hosp Med (Lond) 2023 Jun 2;84(6):1-6. Epub 2023 Jun 26 doi: 10.12968/hmed.2022.0546. PMID: 37364871
Primary pyomyositis in North India: a clinical, microbiological, and outcome study.
Kumar S, Bhalla A, Singh R, Sharma N, Sharma A, Gautam V, Singh S, Varma S
Korean J Intern Med 2018 Mar;33(2):417-431. Epub 2018 Jan 18 doi: 10.3904/kjim.2016.011. PMID: 29338140Free PMC Article
Treatment of Staphylococcus aureus Infections.
David MZ, Daum RS
Curr Top Microbiol Immunol 2017;409:325-383. doi: 10.1007/82_2017_42. PMID: 28900682

Recent clinical studies

Etiology

Sternocleidomastoid pyomyositis.
Gosnell EJ, Anwar B, Varadarajan V, Freeman S
Eur Ann Otorhinolaryngol Head Neck Dis 2016 Sep;133(4):273-5. Epub 2016 Feb 12 doi: 10.1016/j.anorl.2015.02.003. PMID: 26879580
Soft tissue infections.
Torralba KD, Quismorio FP Jr
Rheum Dis Clin North Am 2009 Feb;35(1):45-62. doi: 10.1016/j.rdc.2009.03.002. PMID: 19480996
Tropical and temperate pyomyositis.
Small LN, Ross JJ
Infect Dis Clin North Am 2005 Dec;19(4):981-9, x-xi. doi: 10.1016/j.idc.2005.08.003. PMID: 16297743
The compromised traveler.
Mileno MD, Bia FJ
Infect Dis Clin North Am 1998 Jun;12(2):369-412. doi: 10.1016/s0891-5520(05)70010-6. PMID: 9658250
Pyomyositis.
Dunkerley GR, Older J, Onwochei B, Pazienza J
Am Fam Physician 1996 Aug;54(2):565-9. PMID: 8701837

Diagnosis

Pediatric musculoskeletal infections.
Hannon M, Lyons T
Curr Opin Pediatr 2023 Jun 1;35(3):309-315. Epub 2023 Feb 22 doi: 10.1097/MOP.0000000000001234. PMID: 36802036
Sternocleidomastoid pyomyositis.
Gosnell EJ, Anwar B, Varadarajan V, Freeman S
Eur Ann Otorhinolaryngol Head Neck Dis 2016 Sep;133(4):273-5. Epub 2016 Feb 12 doi: 10.1016/j.anorl.2015.02.003. PMID: 26879580
Musculoskeletal melioidosis.
Pattamapaspong N, Muttarak M
Semin Musculoskelet Radiol 2011 Nov;15(5):480-8. Epub 2011 Nov 11 doi: 10.1055/s-0031-1293494. PMID: 22081283
Pyomyositis.
Agarwal V, Chauhan S, Gupta RK
Neuroimaging Clin N Am 2011 Nov;21(4):975-83, x. Epub 2011 Sep 16 doi: 10.1016/j.nic.2011.07.011. PMID: 22032510
Soft tissue infections.
Torralba KD, Quismorio FP Jr
Rheum Dis Clin North Am 2009 Feb;35(1):45-62. doi: 10.1016/j.rdc.2009.03.002. PMID: 19480996

Therapy

Pediatric musculoskeletal infections.
Hannon M, Lyons T
Curr Opin Pediatr 2023 Jun 1;35(3):309-315. Epub 2023 Feb 22 doi: 10.1097/MOP.0000000000001234. PMID: 36802036
Pectoralis pyomyositis.
Seyfi D, Jabbour J, Jackson S, Rice M
ANZ J Surg 2021 Oct;91(10):2221-2223. Epub 2021 Feb 24 doi: 10.1111/ans.16662. PMID: 33629484
Sternocleidomastoid pyomyositis.
Gosnell EJ, Anwar B, Varadarajan V, Freeman S
Eur Ann Otorhinolaryngol Head Neck Dis 2016 Sep;133(4):273-5. Epub 2016 Feb 12 doi: 10.1016/j.anorl.2015.02.003. PMID: 26879580
Soft tissue infections.
Torralba KD, Quismorio FP Jr
Rheum Dis Clin North Am 2009 Feb;35(1):45-62. doi: 10.1016/j.rdc.2009.03.002. PMID: 19480996
The compromised traveler.
Mileno MD, Bia FJ
Infect Dis Clin North Am 1998 Jun;12(2):369-412. doi: 10.1016/s0891-5520(05)70010-6. PMID: 9658250

Prognosis

Pediatric musculoskeletal infections.
Hannon M, Lyons T
Curr Opin Pediatr 2023 Jun 1;35(3):309-315. Epub 2023 Feb 22 doi: 10.1097/MOP.0000000000001234. PMID: 36802036
Septic emboli from pyomyositis.
Mantilla-Flórez YF, Echeverry-Díaz T, de la Espriella LD, Tuta-Quintero EA
Trop Doct 2020 Oct;50(4):375-377. Epub 2020 Jul 5 doi: 10.1177/0049475520938166. PMID: 32623976
Tropical pyomyositis: an update.
Shittu A, Deinhardt-Emmer S, Vas Nunes J, Niemann S, Grobusch MP, Schaumburg F
Trop Med Int Health 2020 Jun;25(6):660-665. Epub 2020 Apr 16 doi: 10.1111/tmi.13395. PMID: 32219926
Neurologic infections in diabetes mellitus.
Jay CA, Solbrig MV
Handb Clin Neurol 2014;126:175-94. doi: 10.1016/B978-0-444-53480-4.00014-X. PMID: 25410222
Soft tissue infections.
Torralba KD, Quismorio FP Jr
Rheum Dis Clin North Am 2009 Feb;35(1):45-62. doi: 10.1016/j.rdc.2009.03.002. PMID: 19480996

Clinical prediction guides

A Clinical Prediction Rule for Bacterial Musculoskeletal Infections in Children with Monoarthritis in Lyme Endemic Regions.
Lyons TW, Kharbanda AB, Thompson AD, Bennett JE, Balamuth F, Levas MN, Neville DN, Lewander DP, Bretscher BS, Kellogg MD, Nigrovic LE; Pedi Lyme Net
Ann Emerg Med 2022 Sep;80(3):225-234. Epub 2022 May 26 doi: 10.1016/j.annemergmed.2022.04.009. PMID: 35643775
Necrotizing Soft Tissue Infections (NSTI): Pearls and Pitfalls for the Emergency Clinician.
Pelletier J, Gottlieb M, Long B, Perkins JC Jr
J Emerg Med 2022 Apr;62(4):480-491. Epub 2022 Jan 31 doi: 10.1016/j.jemermed.2021.12.012. PMID: 35115188
Pyomyositis: Are We Missing the Diagnosis?
Agarwal N, Aroor S, Saini P, Gupta A, Kaur N
Surg Infect (Larchmt) 2016 Oct;17(5):615-21. Epub 2016 Jul 27 doi: 10.1089/sur.2015.191. PMID: 27463090
Bacterial pyomyositis: MRI and clinical correlation.
Yu CW, Hsiao JK, Hsu CY, Shih TT
Magn Reson Imaging 2004 Nov;22(9):1233-41. doi: 10.1016/j.mri.2004.08.005. PMID: 15607094
Pyomyositis in children and adolescents: report of 12 cases and review of the literature.
Spiegel DA, Meyer JS, Dormans JP, Flynn JM, Drummond DS
J Pediatr Orthop 1999 Mar-Apr;19(2):143-50. doi: 10.1097/00004694-199903000-00002. PMID: 10088678

Recent systematic reviews

Direct 16S/18S rRNA Gene PCR Followed by Sanger Sequencing as a Clinical Diagnostic Tool for Detection of Bacterial and Fungal Infections: a Systematic Review and Meta-Analysis.
Drevinek P, Hollweck R, Lorenz MG, Lustig M, Bjarnsholt T
J Clin Microbiol 2023 Sep 21;61(9):e0033823. Epub 2023 Jun 27 doi: 10.1128/jcm.00338-23. PMID: 37367430Free PMC Article
Primary Bacterial Pyomyositis in Children: A Systematic Review.
Vij N, Ranade AS, Kang P, Belthur MV
J Pediatr Orthop 2021 Oct 1;41(9):e849-e854. doi: 10.1097/BPO.0000000000001944. PMID: 34411048
Factors associated with pyomyositis: A systematic review and meta-analysis.
Ngor C, Hall L, Dean JA, Gilks CF
Trop Med Int Health 2021 Oct;26(10):1210-1219. Epub 2021 Aug 26 doi: 10.1111/tmi.13669. PMID: 34407271
Tropical pyomyositis: an update.
Shittu A, Deinhardt-Emmer S, Vas Nunes J, Niemann S, Grobusch MP, Schaumburg F
Trop Med Int Health 2020 Jun;25(6):660-665. Epub 2020 Apr 16 doi: 10.1111/tmi.13395. PMID: 32219926
Piriformis pyomyositis, a cause of piriformis syndrome-a systematic search and review.
Siddiq MAB, Rasker JJ
Clin Rheumatol 2019 Jul;38(7):1811-1821. Epub 2019 May 2 doi: 10.1007/s10067-019-04552-y. PMID: 31049761

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