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Tropical pyomyositis: an update
Authors:Adebayo Shittu  Stefanie Deinhardt‐Emmer  Jonathan Vas Nunes  Silke Niemann  Martin P Grobusch  Frieder Schaumburg
Abstract:Tropical pyomyositis (TP) is a life‐threatening bacterial infection of the skeletal muscle that occurs particularly among children, young adults and those with immunocompromised conditions. The appropriate diagnosis and treatment are often delayed due to its non‐specific signs, leading to fatal consequences. Staphylococcus aureus, especially methicillin‐susceptible S. aureus, is responsible for most TP cases. However, other bacteria (i.e. streptococci, Pseudomonas aeruginosa, Escherichia coli, Klebsiella spp., Candida spp., Mycobacterium spp.) have been reported. This narrative review provides an update on the epidemiology and clinical course of TP. A special focus is laid on the role of toxins (i.e. Panton‐Valentine Leucocidin and α‐toxin) in the pathogenesis of TP and their implication for the clinical management of infection.
Keywords:tropical pyomyositis     Staphylococcus aureus     epidemiology  clinical course  pathogenesis  review  pyomyosite tropicale  Staphylococcus aureus  é  pidé  miologie  é  volution clinique  pathogenè  se  revue
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