GROUP 4 PRESENTING

ON
PYOMYOSITIS
 NAME OF GROUP MEMBERS

NAME INDEX NUMBER

Caeser Takyi Emmanuel
Ali Ibrahim
Nyanbol Emmanuel
Yeboah Collins
Amedze Goodness
Oppong KyeKyeKu Bernard
Oteng Wisdom
Sabi Mina
Obeng Adanse Rosina
Gyamfi Kyeremeh Bernice
Tetteh Linda
 PYOMYOSITIS

Pyomyositis is primary acute bacterial

infection of the muscle, caused by
Staphylococcus aureus. It most commonly
affects the muscles of
the limbs and torso. These infections may
occur
simultaneously in multiple sites.
It is usually with abcess formation
 Causes
It is mostly caused by staphylococcus aureus, 95% and 70% of cases in
tropical and non tropical areas respectively.
 INCIDENCE

Pyomyositis is endemic in tropical areas as denutrition is frequently

associated in the tropics. In tropical areas, pyomyositis is more frequent
among men, with a female to male ratio of 3:5. it affects mostly young people
and children.
PREDISPOSING FACTORS
Predisposing factors for pyomyositis include;
1. Immunodeficiency
2. Trauma
3. Injection drug use
4. Concurrent infection
5. Malnutrition.
 IMMUNODEFICIENCY

Immunodeficiency has been implicated in the development of

pyomyositis. Forms of immunodeficiency associated with pyomyositis
include HIV Infection, diabetes mellitus, malignancy, cirrhosis, renal
insufficiency, organ transplant and administration of
immunosuppressive agents.
 CLINICAL MANIFESTATION

The clinical manifestations can be devided into 3 stages:

The first stage or invasive stage,
During the first two weeks, the disease is subacute and symptoms are
often neglected . General sign and symptoms are variable including
fever and anorexia. Local symptoms are;
• Tenderness
• Swelling
• Erythema
• Mild pain
Second stage or suppurative stage;
Diagnosis is often made at this stage. General signs are more
prominent with high fever, chills and septic syndrome. Local
abnormalities include:
Tenderness
Swelling
Myalgia
Inflammatory skin
Third stage;
This is the stage where systemic manifestations are severe with sepsis
and fever. Local examination shows erythema, exquisite tenderness and
obvious fluctuance. Further complications can occur;
Metastatic abcess
Arthritis
Septic shock
Renal failure
 DIAGNOSIS

• Ultrasound scan shows purulent collection

• Magnetic Resonance Imaging (M.R.I) determines its localization and
extension
• CT scan
• Scintigraphy uses isotope imaging to detect multiple localizations of
muscle abcess
 TREATMENT

• Surgical drainage of the abcess

• Antibiotic management.