Tropical pyomyositis presenting in the upper extremity
B. M. Michaels, D. P. Orgill and A. A. Santos
Department of Surgery, Brigham and Women's Hospital, Boston, Mass, USA.
Tropical pyomyositis is a staphylococcal infection, usually of a single
large muscle, most commonly seen in young men in tropical regions. The
following presents a case of tropical pyomyositis in a 62-year-old man that
affected all four extremities, including the muscles of the forearms.
Computed tomography was a useful guide for directing surgical explorations.
To decrease the degree of disability from the multiple operative sites, we
successfully used limited longitudinal incisions and conservative
debridements.
