A Case of Multifocal Pyomyositis in Diabetes Mellitus.

Park,  Eun Seo; Kim,  Joo Hyun; Jung,  Bo Yong; Park,  Jae Ho; Ahn,  Ji Hun; Lee,  Jun Young; Hwang,  Soon Ho; Lee,  Kyung Wook; Han,  Jong Kyu; Mok,  Ji O; Kim,  Yeo Joo; Park,  Hyeong Kyu; Kim,  Chul Hee; Kim,  Sang Jin; Byun,  Dong Won; Suh,  Kyo Il; Yoo,  Myung Hi

doi:2006.30.2.140

Diabetes Metab J > Volume 30(2); 2006 > Article

Case Report

Korean Diabetes Journal 2006;30(2):140-144.
DOI: https://doi.org/10.4093/jkda.2006.30.2.140 Published online March 1, 2006.

A Case of Multifocal Pyomyositis in Diabetes Mellitus.

Eun Seo Park, Joo Hyun Kim, Bo Yong Jung, Jae Ho Park, Ji Hun Ahn, Jun Young Lee, Soon Ho Hwang, Kyung Wook Lee, Jong Kyu Han, Ji O Mok, Yeo Joo Kim, Hyeong Kyu Park, Chul Hee Kim, Sang Jin Kim, Dong Won Byun, Kyo Il Suh, Myung Hi Yoo

¹Department of Internal Medicine, Soonchunhyang University, Chunann, Korea.
²Department of Radiology Soonchunhyang University, Chunann, Korea.

Abstract

Pyomyositis is an acute bacterial infection of skeletal muscle, usually caused by Staphylococcus aureus. It is common in the tropics but rare in temperate climates. In temperature climate there are predisposing factors, such as diabetes, HIV infection, malignancy. The incidence of reported bacterial pyomyositis is increasing in recently, especially among immunocompromised persons such as HIV infection or diabetes mellitus. We experience multifocal pyomyositis in 49-year-old man with type 2 diabetes mellitus presented with drowsy mental state. Muscular USG and MRI finding shows multifocal abscess in thigh. Blood culture revealed Staphyloccus aureus. And patient received a intravenous broad-spectrum antibiotics, incision and drainage. He was successfully managed with drainage and antibiotics then discharge. Since diabetes or infection with HIV predisposes patients to bacterial infection, pyomyositis will occur more frequently. Increased awareness if the disease will improve management.

Key Words: Diabetes mellitus, Pyomyositis