Tropical Pyomyositis of the Iliacus Mu scle in American Samoa

William Schecter Departments of Surgery and Medicine, The LBJ Tropical Medical Center, Department of Medicine, San Francisco General Hospital and University of California San Francisco, Pago Pago, American Samoa

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Theodor Rintel Departments of Surgery and Medicine, The LBJ Tropical Medical Center, Department of Medicine, San Francisco General Hospital and University of California San Francisco, Pago Pago, American Samoa

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Gary Slutkin Departments of Surgery and Medicine, The LBJ Tropical Medical Center, Department of Medicine, San Francisco General Hospital and University of California San Francisco, Pago Pago, American Samoa

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Gisela Schecter Departments of Surgery and Medicine, The LBJ Tropical Medical Center, Department of Medicine, San Francisco General Hospital and University of California San Francisco, Pago Pago, American Samoa

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Vaiula Tuato'o Departments of Surgery and Medicine, The LBJ Tropical Medical Center, Department of Medicine, San Francisco General Hospital and University of California San Francisco, Pago Pago, American Samoa

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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.

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