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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.

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Article

Bifocal Pyomyositis: An Uncommon Complication in Diabetic Patient

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


American Journal of Medical Case Reports. 2016, Vol. 4 No. 9, 319-320
DOI: 10.12691/ajmcr-4-9-7
Copyright © 2016 Science and Education Publishing

Cite this paper:
Ines Kechaou, Eya Cherif, Imene Boukhris, Samira Azzabi, Lamia Ben Hassine, 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.

Correspondence to: Ines  Kechaou, Internal Medicine Department, University hospital of Charles Nicolle, Tunis, Tunisia. Email: kechaou.ines@topnet.tn

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.

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