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2.1
Tropical Myositis
Pyomyositis %2F Tropical Pyomyositis

Presentation

We describe a renal transplant recipient who presented with tropical myositis and acute allograft dysfunction 2(1/2) years after transplantation. Graft biopsy showed immune-complex crescentic glomerulonephritis. [ncbi.nlm.nih.gov]

Colour plates and line drawings are present throughout along with tables of key information. [books.google.com]

It is a rare presentation in which the patient has progressed from Stage I to Stage III without a Stage II where pus formation is present. [astrocyte.in]

The importance of immunocompetence and its impact on the presentation of pyomyositis is demonstrated by our present case. Hematologic malignancies are known to be associated with pyomyositis. [jmedicalcasereports.biomedcentral.com]

Musculoskeletal

  • Myopathy

    HTLV-1 associated inflammatory myopathies (HAIM) present similarities with idiopathic inflammatory myopathies (IIM) and with tropical spastic paraparesis or HTLV-1 associated myelopathy (TSP/HAM). [theses.fr]

    ) muscular dystrophies and myopathies ( G71 - G72 ) myopathy in amyloidosis ( E85.- ) myopathy in polyarteritis nodosa ( M30.0 ) myopathy in rheumatoid arthritis ( M05.32 ) myopathy in scleroderma ( M34.- ) myopathy in Sjögren's syndrome ( M35.03 ) [icd10data.com]

    ) muscular dystrophies and myopathies ( G71-G72 ) myopathy in: · amyloidosis ( E85.- ) · polyarteritis nodosa ( M30.0 ) · rheumatoid arthritis ( M05.3 ) · scleroderma ( M34.- ) · Sjögren's syndrome ( M35.0 ) · systemic lupus erythematosus ( M32.- ) [apps.who.int]

    Other parasitic myopathies such as trichinosis and cysticercosis are acquired through consumption of poorly cooked meats. [mja.com.au]

    […] research laboratories of Boston Children's and other institutions, focuses on the description of novel mutations in patients with neuromuscular diseases and the application of new technologies to explore the pathogenesis and treatment of congenital myopathies [books.google.com]

  • Myalgia

    The most common presentation was localised myalgia (100%), fever (96.7%) generalized myalgia (56.7%), arthralgia (40%), pain in abdomen (33.3%) and breathlessness (30%). Extramuscular complications were present in 50% cases. [ncbi.nlm.nih.gov]

    DD DVT Cellulitis Haematoma Rupture of Muscle/Tendon Polymyositis Leptospirosis(Diffuse myalgia wit severe LFT disturbances) 23. INVESTIGATIONS Muscle biopsy with culture Pus for C/S Blood C/S(Sterile in 90%) CT/MRI/X-RAY 24. [slideshare.net]

    […] tendinitis ( M65.2 ) · of shoulder ( M75.3 ) M61.5 Other ossification of muscle M61.9 Calcification and ossification of muscle, unspecified M62 Other disorders of muscle [See site code at the beginning of this chapter ] Excludes: cramp and spasm ( R25.2 ) myalgia [apps.who.int]

    The patient reported asthenia and diffuse myalgia, beginning 15 days prior to admission, without association with other signs or symptoms, obtaining partial improvement with analgesics. [clinmedjournals.org]

  • Muscle Tenderness

    Although myositis can cause muscle aches and muscle tenderness, weakness is usually the dominant symptom. In some cases, myositis is a short-term problem that goes away after a few days or weeks. [health.harvard.edu]

    Occasionally, the stage of invasion by Cysticercus cellulosae is characterised by fever, muscle tenderness, and eosinophilia and needs to be differentiated from tropical pyomyositis. [pmj.bmj.com]

  • Muscle Swelling

    There could be erythema over the swelling. But erythema is absent in deep-seated infections. The swelling is tender and woody inconsistency. In suppurative stage [1-3 weeks], abscess forms in the muscle. [boneandspine.com]

Workup

However, there is no microbiological evidence for the etiological agent for pyomyositis in our case as bacteriological workup was inconclusive. Trichinella was the only pathogen isolated. [jgid.org]

Treatment

Treatment with albendazole led to a slow and incomplete recovery, but treatment with steroids caused life-threatening deterioration. [mja.com.au]

Renal function did not improve despite treatment with antibiotics, methylprednisolone pulse therapy, and cyclophosphamide. He died of septicemia. [ncbi.nlm.nih.gov]

Though our patient was in the latter part of stage 2 when he sought treatment initially, his condition deteriorated quickly to stage 3. [jmedicalcasereports.biomedcentral.com]

Different tests and examinations help doctors establish an accurate diagnosis so you can begin treatment as soon as possible. [medigoo.com]

Prognosis

Treatment and prognosis Depending on the infective agent systemic antibiotics are administered. If an abscess has formed, then it should usually be drained either surgically or percutaneously. [radiopaedia.org]

PROGNOSIS CFR 0.5 to 10% 26. THANK YOU 27. [slideshare.net]

The prognosis remains excellent if promptly treated. [ncbi.nlm.nih.gov]

The prognosis remains excellent if the disease is promptly identified and treated correctly. Chattopadhyay Bitoti, Mukhopadhyay Mainak, Chatterjee Atri, Biswas Pijush Kanti, Chatterjee Nandini, et al. (2013) Tropical pyomyositis. [clinmedjournals.org]

Time Interval between Infective Endocarditis First Symptoms and Diagnosis: Relationship to Infective Endocarditis characteristics, Microorganisms and Prognosis. [chu-reims.fr]

Etiology

Part II (Etiology and Mechanisms) covers advances in the immunopathology and viral etiology of PM/DM along with a frequently recognized entity: inclusion body myositis. [books.google.com]

The identification of one predisposing cause should not stop the etiologic search for others, because underlying subclinical sinister causes may be discovered that require urgent intervention. [jmedicalcasereports.biomedcentral.com]

[…] cow's disease (bovine spongioform encephalopathy = bse ) is a very serious incurable disease often with progressive psychological and mental problems associated with rigidity and movement disorders of the extremities fortunately now that we know the etiology [healthtap.com]

Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. [pascal-francis.inist.fr]

Idoko JA, Jimoh 0, Onyewoth II: Has lack of vitamin C any role in the etiology of tropical pyomyositis? J Infect 21:7-9, 1990. [isradiology.org]

Epidemiology

ISSN: 0950-2688 EISSN: 1469-4409 URL: /core/journals/epidemiology-and-infection Unfortunately you do not have access to this content, please use the Get access link below for information on how to access this content. × × [cambridge.org]

Staphylococcal pyomyositis in a temperate region: epidemiology and modern management. Medical journal of Australia. 2008 Sep 15;189(6):323. Pyomyositis UpToDate Ali I, Rashdan I. Hospital physician. 1999 Mar:39. [dermnetnz.org]

The epidemiology of tropical myositis in the Mengo districts of Uganda. Trans. R. Soc. Trop. Med. Hyg. 72 :46, 1978 PubMed CrossRef Google Scholar 3. Kerrigan, K.R., Nelson, S.J.: Tropical pyomyositis in eastern Ecuador. Trans. R. Soc. Trop. Med. [link.springer.com]

Pathophysiology

Systemic sclerosis: pathophysiology of a multifaceted disease Servettaz A, Agard C, Tamby MC, Guilpain P, Guillevin L, Mouthon L. Presse Med. 2006 Dec;35(12 Pt 2):1903-15. Review. French. [chu-reims.fr]

This report mainly focuses on nontropical primary pyomyositis because the pathophysiologic features, clinical course, and response to treatment is similar for both. [triggered.clockss.org]

Prevention

Courtesy of Centers for Disease Control and Prevention. American trypanosomiasis: The causative organism is a protozoan, Trypanosoma cruzi. [emedicine.medscape.com]

It is important to learn as quickly as possible, what happens to you, to be able to prevent further deterioration of health. [womenhealthneten.bitballoon.com]

Following this, the abscess cavity must be prevented from premature closure by packing and daily dressing. [boneandspine.com]

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