American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: Editor-in-chief: Samy, I. McFarlane
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American Journal of Medical Case Reports. 2016, 4(9), 319-320
DOI: 10.12691/ajmcr-4-9-7
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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


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.

diabetes pyomyositis intramuscularabcess MRI ketoacidosis

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