Korean J Pediatr.  2006 Oct;49(10):1116-1119. 10.3345/kjp.2006.49.10.1116.

A case of pyomyositis due to Mycobacterium tuberculosis

• Bae YJ
• Choi JS
• Lee YA
• Kim SS
• Rha SH
• Jung JA

• KMID: 2279791
• DOI: http://doi.org/10.3345/kjp.2006.49.10.1116

Abstract

Pyomyositis is a primary bacterial infection of the skeletal muscles. Although infection can affect any skeletal muscle, the large muscle groups such as the quadriceps or gluteal muscles are most often the focus of this disease, and most commonly the inflammation is focal, involving a single muscle. The mechanism of pyomyositis is poorly understood. The local mechanical trauma at the time of an incidental bacteremia is frequently postulated as a mechanism that could explain the high incidence of the disease in tropical areas and its male preponderance. Staphylococcus aureus is the most common organism responsible for pyomyositis. Mycobacterium tuberculosis primarily affects the lungs, and the prevalence of active pulmonary tuberculosis co-existing with musculoskeletal tuberculosis has been about 30 percent. We report here on a case of an otherwise healthy 17-month-old girl, who had tuberculous pyomyositis at the upper arm after the hepatitis A vaccination with no evidence of any coexistent active tuberculosis.

Keyword

Pyomyositis; Mycobacterium tuberculosis

MeSH Terms

Arm
Bacteremia
Bacterial Infections
Female
Hepatitis A
Humans
Incidence
Infant
Inflammation
Lung
Male
Muscle, Skeletal
Muscles
Mycobacterium tuberculosis*
Mycobacterium*
Prevalence
Pyomyositis*
Staphylococcus aureus
Tuberculosis
Tuberculosis, Pulmonary
Vaccination