Document 0653
 DOCN  M94A0653
 TI    Pyomyositis and HIV: an infrequent yet recognised association.
 DT    9412
 AU    Hellard ME; Street AC; Royal Melbourne Hospital.
 SO    Annu Conf Australas Soc HIV Med. 1993 Oct 28-30;5:56 (abstract no.
       FCP3). Unique Identifier : AIDSLINE ASHM5/94349002
 AB    Skeletal muscle abscesses (pyomyositis) are an uncommon but well
       recognised problem in human immunodeficiency virus (HIV) patients. This
       report discusses a case of an ileopsoas abscess in an HIV patient and
       reviews the experience with HIV associated pyomyositis in patients
       attending the Royal Melbourne & Fairfield Hospitals. A 29 year old man,
       with a CD4 count of 110 and extensive bilateral lower extremity Kaposis
       Sarcoma, (previously treated with radiotherapy and chemotherapy),
       presented with fever and right hip pain. On CT scanning he was
       discovered to have a large ileopsoas abscess which was drained
       percutaneously. Staphylococcus aureus was isolated. There was also
       evidence of pelvic osteomyelitis. He was treated with a long course of
       intravenous flucloxacillin. Four other HIV patients presenting to the
       above mentioned hospitals have had pyomyositis. Staphylococcus aureus
       was the organism in all cases. All patients had CD4 counts of less than
       200. They responded well to drainage and antibiotics. Pyomyositis is
       uncommon but needs to be considered in HIV +ve patients with unexplained
       fever and focal pain or swelling.
 DE    Adult  AIDS-Related Opportunistic Infections/*DIAGNOSIS  Case Report
       Human  Male  Myositis/*DIAGNOSIS  Osteomyelitis/DIAGNOSIS  Pelvic Bones
       Psoas Abscess/*DIAGNOSIS  Staphylococcal Infections/*DIAGNOSIS  MEETING
       ABSTRACT

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