NONTROPICAL PYOMYOSITIS IN PATIENTS WITH AIDS

Nontropical pyomyositis in persons with acquired immunodeficiency synd rome (AIDS) is an unusual entity with only a few cases having been des cribed in the United States, Staphylococcus aureus is the most common organism implicated. The infection usually presents in a subacute indo lent fashion with minimal inflammation, Fever and leukocytosis may be absent, and blood cultures are frequently negative. The diagnosis usua lly can be established by a combination of clinical features, computed tomography or ultrasound, and prompt examination of material obtained by aspiration or debridement. This article describes two cases of S a ureus pyomyositis in patients with AIDS and reviews the literature rel evant to this infection.