https://doi.org/10.4081/itjm.2021.1386

From sciatica pain to a complex diagnosis: a case of pyomyositis and chronic lymphocytic leukemia

Vol. 15 No. 3 (2021)
Submitted: 7 October 2020
Accepted: 9 February 2021
Published: 24 September 2021
Pyomyositis, chronic lymphocytic leukemia, Staphylococcus aureus septicemia.
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Authors

Ottavia Magnani
ottavia.magnani@gmail.com
https://orcid.org/0000-0003-3093-0375
U.O. Medicina d'Urgenza, Ospedale Policlinico San Martino, Genova, Italy.
Matteo Caiti
U.O. Medicina d'Urgenza, Ospedale Policlinico San Martino, Genova, Italy.
Elisabetta Cenni
U.O. Medicina d'Urgenza, Ospedale Policlinico San Martino, Genova, Italy.
Paolo Moscatelli
U.O. Medicina d'Urgenza, Ospedale Policlinico San Martino, Genova, Italy.

We described a case of a 50-year-old man who presented severe low back and leg pain that quickly evolved in severe septic shock. Clinical workouts led us to diagnose a rare condition as pyomyositis because of the identification of Staphylococcus aureus septicemia and multiple muscle collections. Although this rare condition rarely occurs in temperate climates, its prevalence recently increased and is often associated with an immunocompromised condition. In this case, the investigation of an immunological impairment revealed an underlying chronic lymphocytic leukemia/small cell non-Hodgkin lymphoma.

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Citations

Crossref
Scopus
Google Scholar
Europe PMC
Comegna L, Guidone PI, Prezioso G, et al. Pyomyositis is not only a tropical pathology: a case series. J Med Case Rep 2016;10:1-6. DOI: https://doi.org/10.1186/s13256-016-1158-2
González Gómez B, Vargas Pérez M, del Rosal Rabes T, et al. Pyomyositis in a non-tropical area. 12 years of cased-based experience. An Pediatría (English Ed.) 2017;87:350-1. DOI: https://doi.org/10.1016/j.anpede.2017.03.012
Manikandan V, Mehrotra S, Anand S, Maurya V. Tropical pyomyositis: revisited. Indian J Surg 2017;79:33-7. DOI: https://doi.org/10.1007/s12262-015-1423-4
Gibson RK, Rosenthal SJ, Lukert BP. Pyomyositis. Increasing recognition in temperate climates. Am J Med 1984;77:768-72. DOI: https://doi.org/10.1016/0002-9343(84)90383-8
Christin L, Sarosi GA. Pyomyositis in North America: case reports and review. Clin Infect Dis. 1992;15:668-77. DOI: https://doi.org/10.1093/clind/15.4.668
Chauhan S, Jain S, Varma S, Chauhan SS. Tropical pyomyositis (myositis tropicans): current perspective. Postgrad Med J. 2004;80:267-70. DOI: https://doi.org/10.1136/pgmj.2003.009274
Charitidis C, Stampolidis N, Falidas E, Tsochataridis E. Multifocal pyomyositis and meningitis after bone marrow biopsy in a diabetic patient. G Chir. 2011;32:185-7.
Xipell M, Ventura-Aguiar P, Revuelta I, et al. Pyomyositis in a patient with IgA nephropathy and kidney transplant. Case Rep Transplant 2019;2019:1-3. DOI: https://doi.org/10.1155/2019/7305683
Takebayashi K, Sonoda H, Shimizu T, et al. Pyomyositis at the surgical site in a patient with chronic myeloid leukemia: a case report and literature review. World J Surg Oncol 2016;14:116. DOI: https://doi.org/10.1186/s12957-016-0873-x
Falagas ME, Rafailidis PI, Kapaskelis A, Peppas G. Pyomyositis associated with hematological malignancy: case report and review of the literature. Int J Infect Dis 2008;12:120-125. DOI: https://doi.org/10.1016/j.ijid.2007.06.005
Navinan MR, Yudhisdran J, Kandeepan T, Kulatunga A. Tropical pyomyositis as a presenting feature of subclinical leukemia: a case report. J Med Case Rep 2015;9. DOI: https://doi.org/10.1186/s13256-015-0513-z
Jurado-Camino T, Córdoba R, Esteban-Burgos L, et al. Chronic Lymphocytic leukemia: a paradigm of innate immune cross-tolerance. J Immunol 2014;194:719-27. DOI: https://doi.org/10.4049/jimmunol.1402272

How to Cite

Magnani, O., Caiti, M., Cenni, E., & Moscatelli, P. (2021). From sciatica pain to a complex diagnosis: a case of pyomyositis and chronic lymphocytic leukemia. Italian Journal of Medicine, 15(3). https://doi.org/10.4081/itjm.2021.1386
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