Pyomyositis masquerading as suprapubic mass: An unusual presentation of melioidosis.

Abstract

Melioidosis, an infection caused by the Gramnegative bacterium Burkholderia pseudomallei is associated with a broad spectrum of clinical manifestations involving different organ systems [1]. Musculoskeletal melioidosis is an uncommon but well-recognized manifestation of the disease [2,3]. Here, we report a case of pyomyositis with abscesses in the obturator externus and adductor muscles. The patient underwent surgical drainage in which B. pseudomallei was cultured from the pus. He received antimicrobial therapy consisting of intravenous ceftazidime and oral trimethoprimsulfamethoxazole which eventually led to resolution of the abscesses.