熱帯医学と外科

概要

Tropical Pyomyositis-an Emerging Multi-Disciplinary Emergency

Peter George and Mukhtharahamed Bendigeri

 Tropical pyomyositis, characterised by suppuration of single or multiple skeletal muscles is a challenge for Clinicians. It occurs mostly in diabetics and is caused by Staphylococcus aureus. We report a case of tropical pyomyositis in a 55 year old diabetic woman, who was referred to us with features of sepsis. She was managed with broad spectrum antibiotics, insulin, hemodynamic monitoring and multiple surgical drainages. There was delay in diagnosis due to its clinical resemblance with other tropical infectious diseases. Physicians irrespective of their geographic location should identify and manage this potentially life threatening but curable condition, with multidisciplinary approach.