Abstract
Since the initial description of tropical pyomyositis 130 years ago, this disease continues to retain some mystery for physicians and surgeons. The infrequency, variable epidemiologic and demographic profile, diagnostic dilemmas and limited literature continue to make it an enigma with limited understanding. In the span of nearly 130 years, worldwide English literature search has revealed an average of only two to three reported cases every year globally. We recently managed a case of tropical pyomyositis which posed a clinical and radiologic diagnostic dilemma. The rarity of disease and published literature prompted us to garner demographic and disease characteristics data from historical review of two Pan-Indian journals, with the aim of aiding management. Data has been screened since 1950 from the Medical Journal Armed Forces India (MJAFI) and the Indian Journal of Surgery (IJS), which report cases from different geographical conditions and ethnicity all over the nation. We found only six case reports in the MJAFI, while there was surprisingly no publication regarding pyomyositis in the IJS. We present a case report of a 39-year-old male who developed pyomyositis of the left calf muscle and review published data from these journals over the last 65 years.
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References
Chauhan S, Jain S, Varma S, Chauhan SS (2004) Tropical pyomyositis (myositis tropicans): current perspective. Postgrad Med J 80:267–270
Bharathi RS, Suryanarayan N, Seth N (2011) Primary obturator internus pyomyositis: a case report. Med J Armed Forces India 67:362–363
Prasad AN, Majumdar D, Puar NS (2006) Tropical pyomyositis: rare presentation: a case report. Med J Armed Forces India 62:387–388
Mitchell LA, Rooks VJ, Martin JE, Burgos RM (2009) Paraspinal tropical pyomyositis and epidural abscess presenting with low back ache. Radiol Case Rep (online) 4:303
Chauhan S, Kumar R, Singh KK, Chauhan SS (2004) Tropical pyomyositis: a diagnostic dilemma. JIACM 5(1):52–54
Unnikrishnan PN, Perry DC, George H, Bassi R, Bruce CE (2010) Tropical primary pyomyositis in children of the UK: an emerging medical challenge. Int Orthop 34:109–113
Tamer K, Hall M, Moharam A, Sharr M, Walczak J (2008) Gluteal pyomyositis in a non tropical region as a rare cause of sciatic nerve compression: a case report. JMRC 2:204
Grandson WR, Ekysyn SJ, Philips I (1984) Staphylococcus bacteremia 400 episodes. BMJ 288:300–305
Singh SB, Singh VP, Gupta S, Gupta RM (1989) Tropical myositis; a clinical, immunological and histopathological study. J Assoc Physc India 37:561–564
Sarma YS, Chatterjee M, Tiwari GL, Kathuria SK, Gupta A (2004) Tropical pyomyositis with staphylococcal scalded skin syndrome. Med J Armed Forces India 60:302–304
Olson DP, Soares S, Kanade SV (2011) Community acquired MRSA pyomyositis: case report and review of literature. Journal of Tropical medicine, Article ID 970848, 4
Chattopadhyay B, Mukhopadhyay M, Chatterjee A, Biswas PK, Chatterjee N, Debnath NB (2013) Tropical pyomyositis. North Am J Med Sci 5:600–603
Hashemi SA, Vosoughi AR, Pourmokhtari M (2012) Hip abductors pyomyositis: a case report and review of the literature. J Infect Dev Ctries 6(2):184–187
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Manikandan, V., Mehrotra, S., Anand, S. et al. Tropical Pyomyositis: Revisited. Indian J Surg 79, 33–37 (2017). https://doi.org/10.1007/s12262-015-1423-4
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DOI: https://doi.org/10.1007/s12262-015-1423-4