Diabetic Pyomyositis: An Unusual Cause of Painful Thigh

Abstract

Pyomyositis is defined as the pyogenic infection of skeletal muscle, which leads to the formation of an abscess. It is difficult to diagnose in its early course, due to poor localizing signs and vague presentation. Diagnosing pyomyositis needs a high index of suspicion. Any delay in diagnosis will lead to sepsis, compartment syndrome, and ultimately death. We describe here a case of pyomyositis of the left thigh, with a relatively non-specific presentation, who was successfully managed with antibiotics and aspiration of pus.

Keywords

• lumbosacral plexopathy
• osteomyelitis
• pyomyositis
• thrombophlebitis