American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Apply for this position
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American Journal of Medical Case Reports. 2016, 4(9), 319-320
DOI: 10.12691/ajmcr-4-9-7
Open AccessCase Report

Bifocal Pyomyositis: An Uncommon Complication in Diabetic Patient

Ines Kechaou1, , Eya Cherif1, Imene Boukhris1, Samira Azzabi1, Lamia Ben Hassine1 and Narjes Khalfallah1

1Internal Medicine Department, University hospital of Charles Nicolle, Tunis, Tunisia

Pub. Date: October 27, 2016

Cite this paper:
Ines Kechaou, Eya Cherif, Imene Boukhris, Samira Azzabi, Lamia Ben Hassine and Narjes Khalfallah. Bifocal Pyomyositis: An Uncommon Complication in Diabetic Patient. American Journal of Medical Case Reports. 2016; 4(9):319-320. doi: 10.12691/ajmcr-4-9-7

Abstract

Pyomyositis is a severe infectious complication reported in diabetic patients. A double noncontiguous location of this complication is exceptional. We report a case of a 58-year-old woman, who presented with a painful swelling left thigh and arm. The diagnosis of bifocal pyomyositis in the left vastusintermedius quadriceps and in the triceps muscle of the left arm was made on MRI findings. The causative agent was not isolated because of preceding antibiotic use. In this observation diabetes mellitus constitute the aim predisposing factor revealing pyomyositis by ketoacidosis.

Keywords:
diabetes pyomyositis intramuscularabcess MRI ketoacidosis

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References:

[1]  Crum NF. Bacterial pyomyositis in the United States. Am J Med 2004; 117: 420-8.
 
[2]  Chiu SK, Lin JC, Wang NC, Peng MY, Chang FY. Impact of underlying diseases on the clinical characteristics and outcome of primary pyomyositis. J MicrobiolImmunol Infect 2008; 4: 286-93.
 
[3]  Seah M Y.Y, Savige J A, Burell L M. An uncommon cause of a painful leg: diabetic pyomyositis. Diabetes care 2004; 27(7): 1743-44.
 
[4]  Tanabe A, Kaneto H, Kamei S and al. Case of disseminated pyomyositis inpoorly controlled type 2 diabetes mellitus withdiabetic ketoacidosis. J Diabetes Investig 2016; 7: 637-640.
 
[5]  Bickels J, Ben-Sira L, Kessler A, Wientroub S. Primary pyomyositis. J Bone JointSurg Am 2002; 84-A(12):A2277-A86.