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Am. J. Trop. Med. Hyg., 32(4), 1983, pp. 809-811
Copyright © 1983 by The American Society of Tropical Medicine and Hygiene

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Tropical Pyomyositis of the Iliacus Mu scle in American Samoa*

William Schecter, Theodor Rintel, Gary Slutkin, Gisela Schecter AND Vaiula Tuato'o
Departments of Surgery and Medicine, The LBJ Tropical Medical Center, Pago Pago, American Samoa, and the Department of Medicine, San Francisco General Hospital and University of California San Francisco, San Francisco, California 94110

Ten cases of pyomyositis of the iliacus muscle are described in otherwise healthy young Samoans. The correct diagnosis was frequently delayed. Staphylococcus aureus was the most common pathogen isolated from drained abscesses. Preference for hip flexion was seen in six patients, and localized pain or induration at the anterior superior iliac spine were found in seven patients. These clues may help expedite a correct diagnosis.

Accepted for publication December 29, 1982.


* Address reprint requests to: William Schecter, M.D., LBJ Tropical Medical Center, American Samoa Government, Pago Pago, American Samoa 96799.







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Copyright © 1983 by the American Society of Tropical Medicine and Hygiene.