Non-tropical pyomiositis and severe subacute polyneuropathy
- Selena Gala Aguilera-García 1
- Raquel de-la-Barreda- Heusser 1
- María Blanca Monereo-Muñoz 1
- Lucía Romero-Acevedo 1
- José Ramón Muñiz-Montes 2
- Onán Pérez-Hernández 1
- Geraldine Quintero-Platt 1
- Emilio González-Reimers 1
- 1 Servicio de Medicina Interna, Hospital Universitario de Canarias, La Laguna, Tenerife. Canary Islands, Spain
- 2 Servicio de Resonancia Magnética (IMETISA). Hospital Universitario de Canarias, La Laguna, Tenerife. Canary Islands, Spain.
ISSN: 1697-5529
Datum der Publikation: 2015
Nummer: 11
Seiten: 23-27
Art: Artikel
Andere Publikationen in: Majorensis: Revista Electrónica de Ciencia y Tecnología
Zusammenfassung
Non tropical pyomyositis is an uncommon disease, sometimes associated with other entities. Association with Guillain-Barré syndrome has been exceptionally reported. In this paper we present the case of a patient with non-tropical pyomyositis due to Escherichia coli who developed a subacute/acute demyelinating polyneuropathy. A 76-year-old man was admitted with muscle inflammation affecting the right shoulder, an abscess spontaneously draining in the right armpit, and a suppurative collection in the left forearm. After successful treatment he was discharged from the hospital, but 45 days later he developed subacute polyneuropathy. When admitted for this second time, a muscle abscess in the right forearm was observed and pus cultures were positive for Escherichia coli. With antibiotics according to antibiogram the patient improved, and after proper nutrition and intravenous immunoglobulins, he recovered slowly from polyneuropathy. This case shows the association of pyomyositis due to E. coli and acute demyelinating neuropathy. To our knowledge, only one similar case was reported; in that case the etiologic agent was Staphylococcus aureus.