SALMONELLA PYOMYOSITIS IN PATIENTS WITH THE HUMAN-IMMUNODEFICIENCY-VIRUS

Pyomyositis is a common disease in the tropics, mostly due to Staphylo coccus aureus. We report two patients infected with the human immunode ficiency virus (HIV) who presented with fever and unilateral limb swel ling and in whom pyomyositis was diagnosed in quadriceps and gluteus m ajor, respectively. Salmonella enter itidis was isolated in both, with recurrent episodes of muscle involvement and secondary osteomyelitis in one case. Non-typhi Salmonella pyomyositis may occur in HIV+ patien ts with a relapsing and aggressive clinical course in some cases.