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M94A0653.TXT
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1994-10-21
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Document 0653
DOCN M94A0653
TI Pyomyositis and HIV: an infrequent yet recognised association.
DT 9412
AU Hellard ME; Street AC; Royal Melbourne Hospital.
SO Annu Conf Australas Soc HIV Med. 1993 Oct 28-30;5:56 (abstract no.
FCP3). Unique Identifier : AIDSLINE ASHM5/94349002
AB Skeletal muscle abscesses (pyomyositis) are an uncommon but well
recognised problem in human immunodeficiency virus (HIV) patients. This
report discusses a case of an ileopsoas abscess in an HIV patient and
reviews the experience with HIV associated pyomyositis in patients
attending the Royal Melbourne & Fairfield Hospitals. A 29 year old man,
with a CD4 count of 110 and extensive bilateral lower extremity Kaposis
Sarcoma, (previously treated with radiotherapy and chemotherapy),
presented with fever and right hip pain. On CT scanning he was
discovered to have a large ileopsoas abscess which was drained
percutaneously. Staphylococcus aureus was isolated. There was also
evidence of pelvic osteomyelitis. He was treated with a long course of
intravenous flucloxacillin. Four other HIV patients presenting to the
above mentioned hospitals have had pyomyositis. Staphylococcus aureus
was the organism in all cases. All patients had CD4 counts of less than
200. They responded well to drainage and antibiotics. Pyomyositis is
uncommon but needs to be considered in HIV +ve patients with unexplained
fever and focal pain or swelling.
DE Adult AIDS-Related Opportunistic Infections/*DIAGNOSIS Case Report
Human Male Myositis/*DIAGNOSIS Osteomyelitis/DIAGNOSIS Pelvic Bones
Psoas Abscess/*DIAGNOSIS Staphylococcal Infections/*DIAGNOSIS MEETING
ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).