Lower limb bilateral pyomyositis in a diabetic patient: case report and literature review

Pyomiositis is a bacterial infection of skeletal muscle tissue occurring mostly in immunocompromised pa­tients, including diabetics. The main agents are Gram-positive cocci . We report a case of a 42 years old, male, diabetic, who presented the emergency room referring pain in thighs and inability to flex his legs. We performed a magnetic resonance which revealed extensive purulent collections in both lower limbs, thus confirming clinical suspicion, and allowing proper antibiotic treatment. In this case, we showed that imaging tests facilitate early diagnosis and treatment through direct location of the lesions, and guides invasive procedures such as biopsy and abscess aspiration when needed.