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Pyomyositis in HIV infection.


Int Conf AIDS. 1993 Jun 6-11;9(1):318 (abstract no. PO-B06-1098). Unique

BACKGROUND: To evaluate clinical aspects of pyomyositis in patients infected by HIV. MATERIALS AND METHODS: In a group of 100 patients with AIDS (CDC, 1987), 4 cases of pyomyositis were detected. All were male, spaniards, 3 were intravenous drug users and 1 was homosexual. Blood cultures and aspiration of the pus from the abscess were performed in all patients. In 3 of them CT scan was performed, being the other diagnosed by ultrasonography. RESULTS: Main clinical data of the patients are reported in the table. A 4% of the patients with AIDS controlled in our hospital developed pyomyositis as a complication. During the period of the study (1986-1992), any case of pyomyositis in patients non infected by HIV was diagnosed. TABULAR DATA, SEE ABSTRACT VOLUME. CONCLUSIONS: Patients with HIV disease in advanced stage represent a risk group to develop pyomyositis. CT scan is a sensitive diagnostic tool. Treatment should include a combination of antimicrobial drugs and aspiration/surgical drainage.

*AIDS-Related Opportunistic Infections/EPIDEMIOLOGY *HIV Infections/COMPLICATIONS *Myositis/COMPLICATIONS


Information in this article was accurate in November 30, 1993. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.