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An Outbreak of Pyomyositis in a Large Refugee Camp in Thailand

During a 2-month period, 17 cases of pyomyositis were seen in the hospital population of a large refugee camp for Cambodians in Thailand. The temporal clustering of the cases suggests an epidemic pattern. Patients in this series were generally young and otherwise healthy. All had gram-positive cocci demonstrated in abscess pus, and all responded to surgical drainage. Fourteen (82%) of the cases were initially misdiagnosed by volunteer physicians who were unfamiliar with the disease. The authors suggest that a mosquito-borne virus predisposes to the development of the pyomyositis abcess.

Accepted for publication June 4, 1981.

^* At the time this work was done, the authors were members of the Volunteer Medical Team of the American Refugee Committee, Khao I Dang Holding Center for Kampucheans, Thailand.