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Pyomyositis as a Focus of Infection in Hematological Disorders: A Report of 3 Cases

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Abstract

The cases of 3 patients with pyomyositis associated with hematological disorders are reported. A 40-year-old man in the blastic phase of chronic myelogenous leukemia and 2 men aged 46 and 71 years with neutropenia due to myelodysplastic syndromes all reported high fever and severe local myalgia and had marked elevation of C-reactive protein. Magnetic resonance imaging revealed muscle abscesses or fasciitis, and the findings led to the diagnosis of pyomyositis. Methicillin-resistantStaphylococcus aureus was isolated from the abscesses of 2 patients, and surgical drainage proved more effective than did antimicrobial agents. It should be recognized that pyomyositis is a possible source of infection in patients with hematological disorders.

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Authors and Affiliations

  1. Division of Internal Medicine, Tokyo Metropolitan Police Hospital, 10-41, Fujimi 2-chome, Chiyoda-ku, 102-8161, Tokyo, Japan

    Tatsuyuki Hayashi, Miho Nozaki, Yasunobu Nonaka & Takeo Nomura

  2. Division of Hematology, Tokyo Metropolitan Koniagorne Hospital, Tokyo, Japan

    Kazuteru Ohashi & Hisashi Sakamaki

Authors
  1. Tatsuyuki Hayashi
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  2. Miho Nozaki
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  3. Yasunobu Nonaka
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  4. Kazuteru Ohashi
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  5. Hisashi Sakamaki
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  6. Takeo Nomura
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Hayashi, T., Nozaki, M., Nonaka, Y. et al. Pyomyositis as a Focus of Infection in Hematological Disorders: A Report of 3 Cases. Int J Hematol 77, 171–174 (2003). https://doi.org/10.1007/BF02983216

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  • DOI: https://doi.org/10.1007/BF02983216

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