A case with multifocal pyomiyositis due to Staphylococcus aureus

Abstract

Primary pyomyositis, a pyogenic infection of the skeletal muscle, is often seen in tropical and subtropical regions. In this article, we present a 16 years-old male patient, who applied to the emergency department with fever, hip pain, and inability to walk without history of trauma. The Multifocal pyomyositis diagnosis was made on the basis of clinical, laboratory and radiologic evaluation of gluteus maximus, medius and minimus, priformis and ilipsoas muscles. Meticilin sensitive Staphylococcus aureus was grown in patient’s blood cultures. The patient was successfully treated with intravenous antibiotics (Sulbactam-ampicillin and ciprofl oxacin) and ultrasonography guided drainage of abscesses. Although this infectious disease is rare, primary pyomyositis should be considered in the differential diagnosis of patients with fever, hip pain and claudication.