Bifocal Pyomyositis: An Uncommon Complication in Diabetic Patient

Ines Kechaou^1, , Eya Cherif¹, Imene Boukhris¹, Samira Azzabi¹, Lamia Ben Hassine¹ and Narjes Khalfallah¹

¹Internal Medicine Department, University hospital of Charles Nicolle, Tunis, Tunisia

Cite this paper

Ines Kechaou, Eya Cherif, Imene Boukhris, Samira Azzabi, Lamia Ben Hassine and Narjes Khalfallah. Bifocal Pyomyositis: An Uncommon Complication in Diabetic Patient. American Journal of Medical Case Reports. 2016; 4(9):319-320. doi: 10.12691/AJMCR-4-9-7

Abstract

Pyomyositis is a severe infectious complication reported in diabetic patients. A double noncontiguous location of this complication is exceptional. We report a case of a 58-year-old woman, who presented with a painful swelling left thigh and arm. The diagnosis of bifocal pyomyositis in the left vastusintermedius quadriceps and in the triceps muscle of the left arm was made on MRI findings. The causative agent was not isolated because of preceding antibiotic use. In this observation diabetes mellitus constitute the aim predisposing factor revealing pyomyositis by ketoacidosis.

Keywords

diabetes, pyomyositis, intramuscularabcess, MRI, ketoacidosis

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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