Pyomyositis in a child with acquired immunodeficiency syndrome. Patient report and brief review
S. A. Raphael, B. J. Wolfson, P. Parker, H. W. Lischner and E. N. Faerber
Department of Pediatrics, University School of Medicine Philadelphia, Pa.
Although common in tropical regions, pyomyositis is rare in the continental
United States. Fewer than 50 cases have been reported to date. It is
characterized by suppuration of large muscle groups that can, if not
quickly and appropriately treated, lead to sepsis and death. Diagnosis can
be difficult secondary to the atypical appearance of the abscess process
early on. Almost all cases have occurred in otherwise healthy people. The
simultaneous occurrence of pyomyositis and immunodeficiency is rare. A
recent report of a case in an adult with the acquired immunodeficiency
syndrome (AIDS) is not, however, unexpected. We describe the first
documented occurrence of pyomyositis in a child with AIDS. A brief review
of the topic is included. Pyomyositis should be included in the list of
unusual infections that can occur in children with AIDS.
