Malhotra P, Singh S, Sud A, Kumari S
Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India.
J Assoc Physicians India. 2000 Nov;48(11):1057-9.
Tropical pyomyositis (TP), a disease of varied aetiology, has been reported frequently from Africa and Latin America. However there are only a few reports from India.
Between January 1992 to June 1999, 26 patients with TP were admitted to Post Graduate Institute of Medical Education and Research Chandigarh, a tertiary care centre in north-west India and formed the study material.
The disease was more common in young adults with male to female ratio being 5:2. In majority, presenting features were muscle pains (100%) and fever (81%). The diagnosis was confirmed by aspirating pus from the involved muscle. The pus grew organisms in 41.7% patients and methicillin sensitive Staphylococcus aureus was the commonest causative organism. Blood cultures were positive in 14.3% of cases. The common complications were bronchopneumonia (23.1%), empyema (19.2%) and venous thrombosis (15.4%). In three patients, the disease occurred in association with tuberculosis of dorsal-lumbar spine. The overall mortality was low (7.7%).
TP is not an uncommon disease in India. Though the presenting features were similar to earlier studies, complications varied and mortality was low. An early recognition and aggressive treatment helps in decreasing morbidity and mortality.
热带脓性肌炎（TP）病因多样，在非洲和拉丁美洲有频繁报道。然而，印度仅有少数病例报告。
1992年1月至1999年6月，26例TP患者入住印度西北部三级医疗中心昌迪加尔医学教育与研究研究生院，构成研究材料。
该病在年轻人中更常见，男女比例为5:2。多数患者的表现为肌肉疼痛（100%）和发热（81%）。通过从受累肌肉抽吸脓液确诊。41.7%的患者脓液培养出微生物，耐甲氧西林金黄色葡萄球菌是最常见的致病菌。14.3%的病例血培养呈阳性。常见并发症为支气管肺炎（23.1%）、脓胸（19.2%）和静脉血栓形成（15.4%）。3例患者该疾病与胸腰椎结核相关。总体死亡率较低（7.7%）。
TP在印度并非罕见疾病。尽管其表现与早期研究相似，但并发症有所不同且死亡率较低。早期识别和积极治疗有助于降低发病率和死亡率。
