Open AccessFrom sciatica pain to a complex diagnosis: a case of pyomyositis and chronic lymphocytic leukemia
Author(s) -
Ottavia Magnani,
Matteo Caiti,
E. Cenni,
P Moscatelli
Publication year - 2021
Publication title -
italian journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.134
H-Index - 10
eISSN - 1877-9352
pISSN - 1877-9344
DOI - 10.4081/itjm.2021.1386
Subject(s) - pyomyositis , medicine , chronic lymphocytic leukemia , sciatica , septic shock , lymphoma , sepsis , myositis , leukemia , dermatology , pathology , surgery , abscess
We described a case of a 50-year-old man who presented severe low back and leg pain that quickly evolved in severe septic shock. Clinical workouts led us to diagnose a rare condition as pyomyositis because of the identification of Staphylococcus aureus septicemia and multiple muscle collections. Although this rare condition rarely occurs in temperate climates, its prevalence recently increased and is often associated with an immunocompromised condition. In this case, the investigation of an immunological impairment revealed an underlying chronic lymphocytic leukemia/small cell non-Hodgkin lymphoma.