Journal Article

Pyomyositis of the Anterior Tibial Compartment

Lawrence A. Cone, Ronald B. Lamb, Adrian Graff-Radford, John Rudder, Susan A. Bach, Joel A. Hirschberg, John F. Feller and Richard A. Lynch

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 25, issue 1, pages 146-148
Published in print July 1997 | ISSN: 1058-4838
Published online July 1997 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/514497
Pyomyositis of the Anterior Tibial Compartment

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Five oncology patients developed bacterial pyomyositis involving the anterior tibial compartment and resulting in compartment syndrome with ischemia and abnormalities of neuromuscular function. All patients were neutropenic and thrombocytopenic, and four were receiving or had recently received cancer chemotherapy. Three infections were due to gram-negative bacilli and two to Staphylococcus aureus. Appropriate antimicrobial therapy and surgical drainage in four patients resulted in the resolution of these infections with good residual muscle function. To our knowledge, primary pyomyositis has never previously been known to cause compartment syndrome.

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Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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