Nontropical pyomyositis as a cause of subacute, multifocal myalgia in the Acquired Immunodeficiency Syndrome

We report a case of nontropical pyomyositis in a patient with acquired immunodeficiency syndrome and disseminated Mycobacterium avium infection, in which severe myalgia was the presenting symptom over several weeks. Multifocal muscle lesions were identified by gallium scanning and magnetic resonance...

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Bibliographic Details
Published in:Arthritis and rheumatism 1990-11, Vol.33 (11), p.1728-1732
Main Authors: Wolf, Rienhart F., Sprenger, Herman G., Mooyaart, Eduard L., Tamsma, Jouke T., Kengen, Roland A., Weits, Jan
Format: Article
Language:English
Subjects:
550600 - Medicine
550601 - Medicine- Unsealed Radionuclides in Diagnostics
Acquired Immunodeficiency Syndrome - complications
Adult
AIDS
AIDS/HIV
BACTERIAL DISEASES
Biological and medical sciences
COUNTING TECHNIQUES
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DISEASES
GALLIUM ISOTOPES
Gallium Radioisotopes
Humans
IMMUNE SYSTEM DISEASES
Immunodeficiencies
Immunodeficiencies. Immunoglobulinopathies
Immunopathology
INFECTIOUS DISEASES
INFLAMMATION
ISOTOPES
Magnetic Resonance Imaging
Male
Medical sciences
MUSCLES
Mycobacterium avium-intracellulare Infection - diagnosis
Mycobacterium avium-intracellulare Infection - physiopathology
Myositis - diagnosis
Myositis - physiopathology
NMR IMAGING
Pain - etiology
PATHOLOGICAL CHANGES
PATIENTS
RADIOISOTOPE SCANNING
RADIOLOGY AND NUCLEAR MEDICINE
Staphylococcal Infections - diagnosis
Staphylococcal Infections - physiopathology
SYMPTOMS
VIRAL DISEASES
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Description
Summary:We report a case of nontropical pyomyositis in a patient with acquired immunodeficiency syndrome and disseminated Mycobacterium avium infection, in which severe myalgia was the presenting symptom over several weeks. Multifocal muscle lesions were identified by gallium scanning and magnetic resonance imaging techniques. The epidemiology, possible pathogenesis, clinical features, diagnostic imaging, and therapy are reviewed. Early suspicion of nontropical pyomyositis in severely immunocompromised patients with “cryptic” myalgia is recommended.
ISSN:0004-3591
1529-0131
DOI:10.1002/art.1780331118