
Primary Pyomyositis Of Paraspinal Muscles: A Rare Location
867-870
Correspondence
Dr. Tauro Leo Francis Department of General Surgery Fr. Muller Medical College Hospital Kankanady, Mangalore – 575002 (D.K.), Karnataka.Ph. No: Hosp: (0824) 2436301, Res: (0824) 2224911 E-Mail: drlftauro@rediffmail.com
Primary pyomyositis is a rare, sub-acute, primary muscle infection that is probably the result of a transient bacteraemia in most patients. It is rarely reported in temperate climates. The quadriceps, gluteal and iliopsoas muscles are the most commonly affected anatomic sites. A case of primary pyomyositis within the paraspinal muscles of a 30-year-old man is reported with details of diagnostic evaluation, and medical and surgical treatment of the condition. Early diagnosis and complete drainage of any abscess cavity combined with appropriate antibiotic therapy, remains the mainstay of treatment. Most patients have complete recovery, with no long term sequelae. Failure to recognize this clinical entity can lead to diagnostic delay and inappropriate management.