Open AccessNontropical pyomyositis as a cause of subacute, multifocal myalgia in the Acquired Immunodeficiency Syndrome
Author(s) -
Wolf Rienhart F.,
Sprenger Herman G.,
Mooyaart Eduard L.,
Tamsma Jouke T.,
Kengen Roland A.,
Weits Jan
Publication year - 1990
Publication title -
arthritis & rheumatism
Language(s) - English
Resource type - Journals
eISSN - 1529-0131
pISSN - 0004-3591
DOI - 10.1002/art.1780331118
Subject(s) - pyomyositis , myalgia , medicine , myositis , immunodeficiency , dermatology , immunology , pathology , surgery , abscess , immune system
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.