The report of Pyomyositis in Diabetic Patient

Seo, Dong Hyun; Jo, Uk; Ahn, Ju Eui; Pak, Soon Hyun; Hong, Jun Hwa; Kim, Hyun Jin; Pak, Kang Seo; Ahn, Kyu Jung

Case Report

Clinical Diabetes 2006;7(1):91-95.

당뇨병환자에서 발병한 화농성 근염 1예

서동현, 조욱, 안주의, 박순현, 홍준화, 김현진, 박강서, 안규정

The report of Pyomyositis in Diabetic Patient

Dong Hyun Seo, Uk Jo, Ju Eui Ahn, Soon Hyun Pak, Jun Hwa Hong, Hyun Jin Kim, Kang Seo Pak, Kyu Jung Ahn

Abstract

Pyomyositis is rare infective disease that form pyogenic abscess in skeletal muscles without circumference tissue infections. It is more common in tropical climate but less in temperate zone. The reports of pyomyositis occurred in temperate zone have predisposing factors; Diabetics, acquired immunodeficiency syndrome and the others. The treatment of pyomyositis during the initial stage is with intravenous anti-biotics alone. As S. aureus is the most common pathogen, empirical treatment with flucloxacillin is appropriate. Addition of an aminoglycoside achieves a synergistic effect and should be instituted in patients with diabetes or during the septic stage. With abscess formation, drainage of the purulent collection with concurrent use of antibiotic therapy is required.

Key Words: Diabetics, Pyomyositis