Pyomyositis in AIDS
Pyomyositis in AIDS
Pyomyositis, a purulent infection of skeletal muscle, is usually caused by Staphylococcus aureus. Many cases of pyomyositis in human immunodeficiency virus (HIV) seronegative patients have been reported in North America and have been reviewed extensively. Moreover, pyomyositis has been reported in association with HIV infection in patients with or without the acquired immunodeficiency syndrome (AIDS). We describe two patients with pyomyositis and HIV and review the available English language literature. Leukocytosis and bacteremia tend to occur less frequently in those with HIV infection and pyomyositis. However, fever, S aureus infection, and bilateral involvement occur more frequently in HIV-positive patients. Antibiotic therapy together with surgical drainage or aspiration is usually sufficient.
Pyomyositis is a purulent infection of skeletal muscle and is usually caused by S aureus. The first extensive description of pyomyositis was by Scriba in 1885. Initially, the disease was thought to occur predominantly in the tropics. Pyomyositis in North America was first reported in 1971. Since then, many cases have been reported in HIV-seronegative patients. These reports were recently collected and reviewed. Pyomyositis in association with HIV infection has been reported with increasing frequency in patients with or without AIDS. Earlier reports of pyomyositis in HIV-positive patients suggested that the disease was multifocal and might be expected to run a different course than that seen in the tropics or in HIV-seronegative patients. We describe two HIV-seropositive patients with pyomyositis and review the available literature.
Pyomyositis, a purulent infection of skeletal muscle, is usually caused by Staphylococcus aureus. Many cases of pyomyositis in human immunodeficiency virus (HIV) seronegative patients have been reported in North America and have been reviewed extensively. Moreover, pyomyositis has been reported in association with HIV infection in patients with or without the acquired immunodeficiency syndrome (AIDS). We describe two patients with pyomyositis and HIV and review the available English language literature. Leukocytosis and bacteremia tend to occur less frequently in those with HIV infection and pyomyositis. However, fever, S aureus infection, and bilateral involvement occur more frequently in HIV-positive patients. Antibiotic therapy together with surgical drainage or aspiration is usually sufficient.
Pyomyositis is a purulent infection of skeletal muscle and is usually caused by S aureus. The first extensive description of pyomyositis was by Scriba in 1885. Initially, the disease was thought to occur predominantly in the tropics. Pyomyositis in North America was first reported in 1971. Since then, many cases have been reported in HIV-seronegative patients. These reports were recently collected and reviewed. Pyomyositis in association with HIV infection has been reported with increasing frequency in patients with or without AIDS. Earlier reports of pyomyositis in HIV-positive patients suggested that the disease was multifocal and might be expected to run a different course than that seen in the tropics or in HIV-seronegative patients. We describe two HIV-seropositive patients with pyomyositis and review the available literature.
