Focal pyomyositis caused by Enterobacter in an immunocompetent patient: A case report.

Autor:	Tounsi H; Internal Medicine Department, Hospital of Mohamed Taher Maâmouri, Nabeul, Tunisia.; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia., Jlidi M; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.; Orthopedics and Traumatology Department, Hospital of Mohamed Taher Maâmouri, Nabeul, Tunisia., Skouri W; Internal Medicine Department, Hospital of Mohamed Taher Maâmouri, Nabeul, Tunisia.; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia., Bachrouch S; Internal Medicine Department, Hospital of Mohamed Taher Maâmouri, Nabeul, Tunisia.; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia., Alaya Z; Internal Medicine Department, Hospital of Mohamed Taher Maâmouri, Nabeul, Tunisia.; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia., Farhat E; Neuromuscular Biopsy Unit, Les Jasmins Medical Centre, Tunis, Tunisia.; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia., Sbaihi S; Radiology Department, Hospital of Mohamed Taher Maâmouri, Nabeul, Tunisia.; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia., Bachalli A; Biology Department, Hospital of Mohamed Taher Maâmouri, Nabeul, Tunisia.; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia., Amri R; Internal Medicine Department, Hospital of Mohamed Taher Maâmouri, Nabeul, Tunisia.; Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
Jazyk:	angličtina
Zdroj:	SAGE open medical case reports [SAGE Open Med Case Rep] 2024 Jul 26; Vol. 12, pp. 2050313X241266488. Date of Electronic Publication: 2024 Jul 26 (Print Publication: 2024).
DOI:	10.1177/2050313X241266488
Abstrakt:	Pyomyositis is a pyogenic infection of skeletal striated muscle, usually found in tropical areas, often in immunocompromised patients. We report a new observation of a nontropical Enterobacter pyomyositis occurring in an immunocompetent female in Tunisia. A 53-year-old patient presented with acute fever and intense myalgia in the right thigh. On clinical examination she had an altered general condition, a fever at 40°C and an important swelling of the lateral side of the right thigh. In biology, she had an inflammatory syndrome. Blood culture had identified Enterobacter. Muscle magnetic resonance imaging showed diffuse inflammatory involvement of the vastus lateralis muscle of the right quadriceps associated with edematous infiltration of subcutaneous fatty tissues. Diagnosis of pyomyositis was retained. Antibiotic therapy initially probabilistic and then adapted to the antibiogram was initiated with a favorable outcome. Although rare outside the tropics, the potential severity of pyomyositis encourages its better knowledge. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2024.)
Databáze:	MEDLINE
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