Pyomyositis: an infectious complication in systemic lupus erythematous

Pyomyositis is a primary pyogenic muscular infection. It has been originally described in the tropics. Presenting signs and symptoms are not specific. It is frequently misdiagnosed in the early stages. We report the case of a 47-year-old woman with systemic lupus erythematosus treated with corticost...

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Bibliographic Details
Published in:La revue de medecine interne 2010-03, Vol.31 (3), p.e4-e6
Main Authors: El Baaj, M, Tabache, F, Modden, K, Hassikou, H, Safi, S, Khalid, R, Hadri, L
Format: Article
Language:fre
Subjects:
Anti-Bacterial Agents - therapeutic use
Drainage
Female
Humans
Immunocompromised Host
Lupus Erythematosus, Systemic - complications
Lupus Erythematosus, Systemic - diagnosis
Lupus Erythematosus, Systemic - therapy
Middle Aged
Pyomyositis - complications
Pyomyositis - diagnosis
Pyomyositis - therapy
Thigh - pathology
Thigh - surgery
Treatment Outcome
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Description
Summary:Pyomyositis is a primary pyogenic muscular infection. It has been originally described in the tropics. Presenting signs and symptoms are not specific. It is frequently misdiagnosed in the early stages. We report the case of a 47-year-old woman with systemic lupus erythematosus treated with corticosteroids who presented a thigh pyomyositis evidenced by echography and MRI. Outcome was uneventful after antibiotics and surgical drainage. Pyomyositis is increasingly described among immunocompromised people, including lupus patients treated with corticosteroids.
ISSN:1768-3122
DOI:10.1016/j.revmed.2009.03.007