Volume 7, Number 26;  March 5, 2007 - Salmonella Polymyositis

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Unique Identifier [PMID]: 11810579

Authors: Collazos J. Mayo J. Martinez E. Blanco MS.

Institution: Section of Infectious Diseases, Hospital de Galdakao, 48960 Vizcaya, Spain. jcollazos@hgda.osakidetza.net

Title: Comparison of the clinical and laboratory features of muscle infections caused by Salmonella and those caused by other pathogens. [Review] [83 refs]

Source: Journal of Infection & Chemotherapy. 7(3):169-74, 2001 Sep.

Abstract: Muscle infections caused by Salmonella constitute an uncommon complication of extraenteric salmonellosis. The aim of this study was to compare the clinical features of Salmonella muscle infections with those reported in several large series of typical, both tropical and non-tropical, pyomyositis, caused mostly by Staphylococcus aureus. A literature survey of Salmonella muscle infections was carried out by using MEDLINE files 1966 through 2000, and cross-references from the selected articles, as well as major reviews of Salmonella infections and of pyomyositis. The survey yielded 32 cases suitable for analysis. The sex distribution, duration of symptom at presentation, degree of fever, involvement of multiple muscle groups, and leukocyte counts were not significantly different between patients with muscle infections caused by Salmonella and typical pyomyositis patients. In contrast, the median age of the patients with Salmonella muscle infections, and the rate of underlying conditions, were significantly higher than those in typical pyomyositis. Psoas muscle was involved more commonly in Salmonella infections than in typical pyomyositis, and the yield of positive blood cultures and, particularly, the mortality rate, were substantially higher in Salmonella muscle infections than in typical pyomyositis. We conclude that patients with Salmonella muscle infections seem to have some different characteristics with respect to typical pyomyositis, such as older age, and higher rates of associated conditions, psoas muscle involvement, bacteremia, and mortality. [References: 83]

Publication Type: Comparative Study. Journal Article. Review.
 

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Unique Identifier [PMID]: 10530465

Authors: Collazos J. Mayo J. Martinez E. Blanco MS.

Institution: Section of Infectious Diseases, Hospital de Galdakao, Vizcaya, Spain.

Title: Muscle infections caused by Salmonella species: case report and review. [Review] [38 refs]

Source: Clinical Infectious Diseases. 29(3):673-7, 1999 Sep.

Abstract: We describe a patient with salmonella pyomyositis and review 30 other cases reported during the past 4 decades. Men outnumbered women by 2.9 to 1, and the median age of the patients was 51 years. Approximately one-half the cases were caused by Salmonella enteritidis. Infected vascular aneurysms were observed in seven patients. Prior salmonella infections and local trauma or lesions were common. Diverse underlying conditions, mainly diabetes and human immunodeficiency virus infection, were present in 81% of the patients, and the psoas muscle was involved in 55% of the cases. One-third of the patients died, and relapses were common after a median time of 5 weeks (range, 4.5-27 weeks) in those who survived. Most patients had anemia, and pathogens were recovered from blood samples from two-thirds of the patients. Salmonella should be considered as a causative agent of muscle infections in the appropriate clinical setting, particularly in patients with underlying diseases or preexisting vascular aneurysms. [References: 38]

Publication Type: Case Reports. Journal Article. Review.
 

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Unique Identifier [PMID]: 9171838

Authors: Ali G. Rashid S. Kamli MA. Shah PA. Allaqaband GQ.

Institution: Department of Medicine, Governmental Medical College, SMHS Hospital, Srinagar, India.

Title: Spectrum of neuropsychiatric complications in 791 cases of typhoid fever.

Source: Tropical Medicine & International Health. 2(4):314-8, 1997 Apr.

Abstract: Over a 6-year period, we studied 791 patients with multidrug-resistant typhoid fever, of whom 665 individuals (84%) developed neuropsychiatric manifestations. These were: acute confusional state (73%); myelitis (6%); cerebellitis (1%); parkinsonism (1%); acute psychosis (0.6%); meningo-encephalitis (0.5%); encephalitis (0.25%); sensory motor polyneuropathy, polymyositis, acute schizophrenia and bizarre neurological syndromes (0.12% each). Severe parkinsonian rigidity and meningo-encephalitis are associated with significant morbidity but very low mortality (0.5%).

Publication Type: Journal Article.
 

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Unique Identifier [PMID]: 7633800

Authors: Medina F. Fuentes M. Jara LJ. Barile L. Miranda JM. Fraga A.

Institution: Rheumatic Diseases Unit, Hospital de Especialidades, Centro Medico La Raza, Instituto Mexicano del Seguro Social, Mexico City.

Title: Salmonella pyomyositis in patients with the human immunodeficiency virus.

Source: British Journal of Rheumatology. 34(6):568-71, 1995 Jun.

Abstract: Pyomyositis is a common disease in the tropics, mostly due to Staphylococcus aureus. We report two patients infected with the human immunodeficiency virus (HIV) who presented with fever and unilateral limb swelling and in whom pyomyositis was diagnosed in quadriceps and gluteus major, respectively. Salmonella enteritidis was isolated in both, with recurrent episodes of muscle involvement and secondary osteomyelitis in one case. Non-typhi Salmonella pyomyositis may occur in HIV + patients with a relapsing and aggressive clinical course in some cases.

Publication Type: Case Reports. Journal Article.
 

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Unique Identifier [PMID]: 1198228

Authors: Naidoo PM. Yan CC.

Title: Typhoid polymyositis.

Source: South African Medical Journal. Suid-Afrikaanse Tydskrif Vir Geneeskunde. 49(47):1975-6, 1975 Nov 8.

Abstract: Four patients with typhoid polymyositis, 3 of whom were members of one family, are described. There was clinical, biochemical and histological evidence of severe muscle involvement which reversed on treatment with Chloromycetin. Muscle involvement in typhoid fever is a recognised pathological entity, but a clinical syndrome involving muscle has not previously been described.

Publication Type: Case Reports. Journal Article.
 

Resident Report / Department of Medicine & Grady Branch Library

Emory University School of Medicine

2006 Edition

Participating Faculty:  Carlos Del Rio MD  / Joyce Doyle MD / Lorenzo Difrancesco MD / Joel Mermis MD / Maunank Shah MD

Contact: Karl Woodworth