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Tropical Pyomyositis
Introduction
This is a condition whereby there is pyogenic infection of large muscle/muscles with extensive necrosis of the involved muscle. This condition occurs more commonly in the tropics.
The cause of tropical pyomyositis is uncertain since abscesses explored early are sterile but later culture of the pus usually yields Staphylococcus aureus.
Signs and symptoms
Diagnostic Criteria
Fever and painful induration/fluctuation of one or more of the large muscles, mostly in the lower limbs
Investigation
• FBC
• ESR
Treatment
-
Pharmacological
- Adults:
• Flucloxacillin 250mg + Amoxycillin 250mg PO 6 hourly for 14 days
OR
• Erythromycin 500 mg PO 6 hourly for 14 days;
Children:
• Cloxacillin25 mg/kg (IV) 6 hourly for 14 days
OR
• Erythromycin 10 mg/kg 6 hourly for 14 days
-
Non-pharmacological
-
Prevention
Updated on,
6 Novemba 2020 08:15:18
References
- 1. STG
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