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Geramei V. Tejada Bsn-Iii: Pyomyositis

Pyomyositis is a bacterial infection of the skeletal muscles that results in pus-filled abscesses, most commonly caused by Staphylococcus aureus. It typically presents with painful, tender swelling over the infected muscle along with fever. Risk factors include living in tropical areas and having a weak immune system. Diagnosis involves imaging tests like CT or MRI scans to detect muscle abscesses, and abscess aspiration may yield S. aureus. Treatment requires prompt intravenous antibiotics, sometimes along with surgical drainage of large abscesses.
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0% found this document useful (0 votes)
25 views2 pages

Geramei V. Tejada Bsn-Iii: Pyomyositis

Pyomyositis is a bacterial infection of the skeletal muscles that results in pus-filled abscesses, most commonly caused by Staphylococcus aureus. It typically presents with painful, tender swelling over the infected muscle along with fever. Risk factors include living in tropical areas and having a weak immune system. Diagnosis involves imaging tests like CT or MRI scans to detect muscle abscesses, and abscess aspiration may yield S. aureus. Treatment requires prompt intravenous antibiotics, sometimes along with surgical drainage of large abscesses.
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Geramei V.

Tejada
BSN-III

PYOMYOSITIS
Pyomyositis, also known as tropical pyomyositis or myositis
tropicans, is a bacterial infection of the skeletal muscles which
results in a pus-filled abscess. It occurs in tropical areas and
people with weak immune systems are the most vulnerable.
Epidemiology
Pyomyositis is most often caused by the bacterium Staphylococcus
aureus. The infection can affect any skeletal muscle, but most
often infects the large muscle groups such as the quadriceps or
gluteal muscles.
Symptoms

Presentation with painful, tender, localized swelling over


muscle
Fever
Epidural abscess

Complications

Life-threatening
shock syndrome.

complications

include

sepsis

and

toxic

Causes
The follow list shows some
of Pyomyositis:
Staphylococcus aureus
Streptococcus Group A

of

the

possible

medical

causes

Diagnostic Procedure
CT scan or MRI demonstrates muscle abscess.
Aspiration of abscess (by surgery or CT/US guided) yields pus,
usually yielding S. aureus
Bacteremia may accompany.

Treatment
Medical Care

Promptly administer systemic antibiotics. This could eliminate


the need for surgical drainage in selected cases.

The choice of antibiotic is determined by identification of the


causative organism.

Antibiotics initially are given intravenously until clinical


improvement isnoted, followed by oral antibiotics for a total
course of 3 weeks (eg, cefazolinor ceftriaxone IV followed by
cephalexin PO).
Surgical Care

During the suppurative phase, abscess aspiration under ultrasonic


or CT guidance may berequired. Surgical drainage is especially
necessary for large abscesses.

Complicated cases may require fasciotomies and debridement.

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