gas-forming pyomyositis in an immunocompetent patient: a case report and review

The primary etiology of pyomyositis is predominantly Staphylococcus aureus , although Gram-negative bacteria may also be involved on rare occasions. The prognosis for pyomyositis caused by Gram-negative bacteria is more unfavorable than that of infections caused by Staphylococcus aureus. Among Gram-...

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Bibliographic Details
Main Authors: Jee Young Lee, Gyu Min Kong
Format: Article
Language:English
Published: SAGE Publishing 2025-01-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605241311782
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Summary:The primary etiology of pyomyositis is predominantly Staphylococcus aureus , although Gram-negative bacteria may also be involved on rare occasions. The prognosis for pyomyositis caused by Gram-negative bacteria is more unfavorable than that of infections caused by Staphylococcus aureus. Among Gram-negative bacteria, members of the Enterobacteriaceae family, including Escherichia coli , Klebsiella species, and Salmonella species, have the capacity to produce gas. Gas-forming myositis is a rare phenomenon that primarily affects immunocompromised patients and is associated with a poor prognosis. To the best of our knowledge, no previous reports of gas-forming pyomyositis in an immunocompetent patient exist. We herein present the first documented case of Salmonella -induced gas-forming pyomyositis of the iliacus muscle in a healthy young man with no underlying diseases or comorbidities. Additionally, we reviewed cases of gas-forming pyomyositis in the literature and cases of pyomyositis caused by Gram-negative bacteria in immunocompetent patients.
ISSN:1473-2300