Pyomyositis in the United States 2002-2014.

The Journal of Infection
Rheanne MaravelasSapna Sadarangani

Abstract

Primary pyomyositis is a bacterial infection of skeletal muscle first recognized in tropical regions of the world but needing characterization in temperate climates. This population-based study used the Healthcare Utilization Project/Nationwide Inpatient Sample database to characterize the trends of pyomyositis admissions in the United States from 2002-2014 using ICD-9 diagnostic codes. We found a concerning more than three-fold increase in the incident pyomyositis admissions over our study period. The median length of stay was over twice as long compared to other hospitalized patients. Patients with pyomyositis were younger and more likely to be male and Black. There were more cases in the West and South compared to Midwest and Northeast. Age-adjusted odds ratios revealed significant association of pyomyositis with HIV, types 1 and 2 diabetes mellitus, hematologic malignancy, organ transplant, malnutrition, chronic kidney disease, obesity, and rheumatoid arthritis. The most commonly identified bacterial diagnosis was Staphylococcus aureus. Pseudomonas species were the most commonly identified gram-negative bacteria. This nationwide review of pyomyositis in the United States suggests a concerning increase in incidence and provi...Continue Reading

Citations

Jul 7, 2020·Tropical Doctor·Yesid Fabián Mantilla-FlórezEduardo Andrés Tuta-Quintero
Mar 9, 2021·Emergency Medicine Australasia : EMA·George BooAdam Morton
Mar 30, 2021·Journal of the American College of Emergency Physicians Open·Ali Al-MarzoogEric J Kalivoda
Apr 23, 2021·Open Forum Infectious Diseases·Christopher RadcliffeMatthew Grant
May 15, 2021·American Journal of Infection Control·Kengo InagakiCharlotte V Hobbs
Jun 29, 2021·Journal of the American College of Emergency Physicians Open·Rebecca RossiMagdy W Attia
Aug 19, 2021·Tropical Medicine & International Health : TM & IH·Chamnab NgorCharles F Gilks
Aug 6, 2021·Pediatrics International : Official Journal of the Japan Pediatric Society·Akihiko ShimizuYoshiyuki Yamada

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