CASE REPORT

Literature Review and Case Report: Primary/Tropical Pyomiositis of the Gluteus Muscle in Colombia

María José Viera Contreras.1,2* Gildardo Jesús Contreras Martinez.2 Andrea Carolina Robles Martínez.2 Linda Atencio Ibarra.2 Andrés Felipe Mier Beleño.2 Dadier Antonio Arroyo Monterroza.2,3

• .1 Internal Medicine Resident, Universidad Simón Bolívar, Barranquilla, Colombia 
• .2Clínica Centro, Barranquilla, Colombia 
• .3Department of Pharmaceutical Sciences, Universidad Simón Bolívar, Barranquilla, Colombia

Corresponding Author: María José Viera Contreras, Internal Medicine Resident, Universidad Simón Bolívar, Barranquilla, Colombia, Clínica Centro, Barranquilla, Colombia. E-mail: mariajose|[email protected]

Received: July 01, 2025                                                        Published: July 10, 2025

Citation: MJV Contreras. Literature Review and Case Report: Primary/Tropical Pyomiositis of the Gluteus Muscle in Colombia. Int J Complement Intern Med. 2025;6(3):394–398. DOI: 10. 58349/IJCIM. 3. 6. 2025. 00155

Copyright: ©2025 Contreras MJV. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and build upon your work non-commercially.

Abstract 

Introduction: Skin infections can reach deep layers, such as muscle fascia, and are classified into necrotizing fasciitis and pyomyositis. Primary pyomyositis can develop due to hematogenous infection, being rare and its main etiology being S. aureus. The clinical presentation is more common in men and associated with tropical regions. 

Case presentation: A 61-year-old diabetic woman presents with a deep infection in the right buttock, with fever and purulent discharge, preceded by a poorly treated ulcer on the finger. The findings suggest necrotizing fasciitis, but primary pyomyositis due to methicillin-resistant S. haemolyticus is confirmed, requiring surgical drainage and antibiotic treatment. 

Discussion: Pyomyositis is an acute muscle bacterial infection, rarely primary, more common in diabetics. The patient presents a typical clinical course, with risk of systemic complications. Pyomyositis primarily affects large muscles, such as the gluteus, and is mostly caused by S. aureus, but dual infection with coagulase-negative S. may occur. Keywords: absesum, muscle, soft tissue infection, staphylococcus aureus.

References 

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