Pyomyositis. Increasing recognition in temperate climates

Am J Med. 1984 Oct;77(4):768-72. doi: 10.1016/0002-9343(84)90383-8.


Pyomyositis is common in the tropics yet is rarely reported in temperate climates. A woman in whom pyomyositis developed in a temperate climate is presented. Computed tomography was the key in the diagnosis of the disease involving the muscles of the left lateral chest wall. The patient's condition responded to intravenous antibiotics and open abscess drainage. The 31 cases reported in the United States are reviewed. Unfamiliarity still poses a barrier to early diagnosis, although pyomyositis is being more frequently described in temperate climates.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Axilla
  • Climate
  • Drainage
  • Female
  • Gallium Radioisotopes
  • Humans
  • Myositis / diagnosis*
  • Myositis / epidemiology
  • Myositis / therapy
  • Streptococcal Infections / diagnosis*
  • Streptococcal Infections / epidemiology
  • Streptococcal Infections / therapy
  • Streptococcus pyogenes / isolation & purification
  • Suppuration / microbiology
  • Thorax
  • Tomography, X-Ray Computed
  • United States


  • Anti-Bacterial Agents
  • Gallium Radioisotopes